Individual
TAYLOR CHRISTINE LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
Mailing address
375 N 2ND ST, RALSTON, OK 74650-2247
(405) 694-1815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5163
OK
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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