Individual
GENAVIEVE BELOBRAYDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2429 WESTPORT DR, NORMAN, OK 73069-6337
(405) 308-9120
Mailing address
2429 WESTPORT DR, NORMAN, OK 73069-6337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914870A
—
OK
Enumeration date
06/26/2020
Last updated
11/06/2024
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