Individual
SALLY STOEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
806
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100654160C
—
OK
05
—
100744030A
—
OK
Enumeration date
06/06/2007
Last updated
09/20/2016
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