Individual
KOURTNE VAN DOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 STONEHENGE DR, EDMOND, OK 73034-6480
(405) 850-3346
(405) 850-3346
Mailing address
2401 NORTHWOOD LN, EDMOND, OK 73013-5633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
OK
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
08/07/2017
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