Individual
MISTY R MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1800 ANADARKO PL, EDMOND, OK 73013-7732
(405) 209-2748
Mailing address
11124 S TRIPLE X RD, NEWALLA, OK 74857-8155
(405) 826-2461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3152
OK
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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