Individual
MISTY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5164
Mailing address
7201 N CLASSEN BLVD, SUITE 106, OKLAHOMA CITY, OK 73116-7100
(405) 840-1335
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4239
OK
235Z00000X
Speech-Language Pathologist
—
OK
Other
Enumeration date
06/15/2010
Last updated
08/03/2022
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