Individual
MRS. ANGELA LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
400 N PENNSYLVANIA AVE, MANGUM, OK 73554-3034
(580) 782-3371
Mailing address
1804 WHITE TAIL CIR, ALTUS, OK 73521-7806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2380
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100687160A
—
OK
Enumeration date
10/27/2015
Last updated
10/27/2015
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