Individual
MRS. TRACI D SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1412 N PORTER AVE, NORMAN, OK 73071-6662
(405) 740-1667
(405) 321-8892
Mailing address
4416 NEWPORT DR, NORMAN, OK 73072-4362
(405) 447-3327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2322
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100668310
—
OK
Enumeration date
06/29/2007
Last updated
03/29/2010
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