Individual
KATHY J WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD., CCC-SLP
Contact information
Practice address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 357-6900
Mailing address
435 NW CHIMNEY CREEK DR, LAWTON, OK 73505-5919
(580) 467-1768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2174
OK
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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