Individual
DR. MICHELE DIANE DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, MS CCC-SLP
Contact information
Practice address
1301 ANTLER RDG, TUTTLE, OK 73089-1803
(580) 606-7111
Mailing address
1301 ANTLER RDG, TUTTLE, OK 73089-1803
(580) 606-7111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1083
OK
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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