Individual
MRS. DESTINEY TAYLOR BINGHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
13804 N 2220 RD, HOBART, OK 73651-6109
(580) 682-9365
Mailing address
13804 N 2220 RD, HOBART, OK 73651-6109
(580) 682-9365
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
149
OK
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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