Individual
EMILY CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4157 S HARVARD AVE STE 117, TULSA, OK 74135-2606
(918) 712-7868
(918) 878-7920
Mailing address
4157 S HARVARD AVE STE 117, TULSA, OK 74135-2606
(918) 712-7868
(918) 878-7920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4978
OK
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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