Individual
SUSAN ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7112 S MINGO RD STE 108, TULSA, OK 74133-3267
(918) 250-7093
Mailing address
9910 S 67TH EAST PL, TULSA, OK 74133-6209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2396
OK
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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