Individual
RILEY RACHELLE PETTIJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 438-3834
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 438-3834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5704
OK
235Z00000X
Speech-Language Pathologist
CF350
OK
Other
Enumeration date
06/23/2021
Last updated
10/28/2025
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