Organization
THERAPIES UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN PAUL MS,CCC-SLP (SPEECH PATHOLOGIST)
(405) 574-6836
Entity
Organization
Contact information
Practice address
301 S 2ND ST, CHICKASHA, OK 73018-3600
(405) 574-6836
(405) 825-3290
Mailing address
1814 PARK AVE, CHICKASHA, OK 73018-6345
(140) 557-4683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639359573
—
OK
Enumeration date
12/27/2018
Last updated
12/27/2018
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