Individual
MIKAH ARIZPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA/L
Contact information
Practice address
1227 N MAIN ST, MIAMI, OK 74354-3322
(918) 542-6655
Mailing address
1227 N MAIN ST, MIAMI, OK 74354-3322
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
137
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200745910A
—
OK
Enumeration date
03/16/2021
Last updated
03/16/2021
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