Individual
MS. DEANNA LYNN SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCCSLP
Contact information
Practice address
1430 HARRIS DR, BARTLESVILLE, OK 74006-5417
(918) 766-3383
Mailing address
1430 HARRIS DR, BARTLESVILLE, OK 74006-5417
(918) 766-3383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2561
OK
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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