Individual
MS. HEATHER LYNN SAMPLE GOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. CCC-SLP
Contact information
Practice address
825 NE 14TH STREET, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73104-4649
(405) 271-4214
(405) 271-3360
Mailing address
825 NE 14TH STREET, JOHN W KEYS SPEECH AND HEARING CENTER, OKLAHOMA CITY, OK 73104-4649
(405) 271-4214
(405) 271-3360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3349
OK
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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