Individual
ANGELICA M WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1405 E AYERS ST, EDMOND, OK 73034-5685
(850) 240-6910
(850) 240-6910
Mailing address
1405 E AYERS ST, EDMOND, OK 73034-5685
(850) 240-6910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4317
OK
Other
Enumeration date
09/05/2013
Last updated
03/03/2017
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