Individual
LISA DIANE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5623 S QUEBEC AVE, TULSA, OK 74135-4231
(918) 494-2970
Mailing address
5623 S. QUEBEC AVENUE, TULSA, OK 74135-4231
(918) 494-2970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2444
OK
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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