Individual
HALEY KATHRYN JONUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
Mailing address
5924 SW 12TH STREET, APT 1221, OKLAHOMA CITY, OK 73128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4332
AL
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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