Individual
MRS. HAILEY RENEE ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
608 NW 9TH ST STE 5100, OKLAHOMA CITY, OK 73102-1006
(405) 272-7055
(405) 272-7039
Mailing address
608 NW 9TH ST STE 5100, OKLAHOMA CITY, OK 73102-1006
(405) 272-7055
(405) 272-7039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3901
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14062630
ASHA CERTIFICATE OF CLINICAL COMPETENCE
—
Enumeration date
07/03/2012
Last updated
07/03/2012
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