Individual
JENNIFER MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S,CCC-SLP
Contact information
Practice address
205 EAST B STREET, JENKS, OK 74037
(918) 299-4415
Mailing address
205 EAST B STREET, JENKS, OK 74037
(918) 299-4415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4414
OK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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