Individual
MRS. CASSIDY LYNN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2102 N CHAMBERS TER, CLAREMORE, OK 74017-6234
(918) 208-6894
Mailing address
2102 N CHAMBERS TER, CLAREMORE, OK 74017-6234
(918) 208-6894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5688
OK
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200954770A
—
OK
Enumeration date
05/12/2020
Last updated
09/20/2023
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