Individual
NICOLE BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4415 S HARVARD AVE, #125, TULSA, OK 74135-2620
(918) 508-7601
(918) 508-7603
Mailing address
4415 S HARVARD AVE, #125, TULSA, OK 74135-2620
(918) 508-7601
(918) 508-7603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4210
OK
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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