Individual
MS. DIANE R BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1412 N PORTER AVE, NORMAN, OK 73071-6662
(405) 321-8882
(405) 364-0152
Mailing address
1441 CHERRY LAUREL DR, NORMAN, OK 73072-6811
(405) 364-6579
(405) 364-0159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100655220A
—
OK
Enumeration date
09/26/2006
Last updated
03/31/2010
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