Individual
SUSAN BRUTON-SHEHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 NAPOLI CT, NORMAN, OK 73069-8628
(405) 996-8349
Mailing address
116 NAPOLI CT, NORMAN, OK 73069-8628
(405) 996-8349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3628
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12124467
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
OK
01
—
3626
STATE OF OKLAHOMA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OK
Enumeration date
12/10/2013
Last updated
12/10/2013
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