Individual
BRENDA NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
700 WEST 7TH STREET, GROVE, OK 74344-0789
(918) 786-3003
(918) 787-2004
Mailing address
700 WEST 7TH STREET, GROVE, OK 74344
(918) 786-3003
(918) 787-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
842
OK
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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