Organization
D L SEVERSON, SPEECH PATHOLOGIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA LYNN SEVERSON CCC-SLP (OWNER, SPEECH PATHOLOGIST)
(918) 766-3383
Entity
Organization
Contact information
Practice address
5204 JACQUELYN LN, BARTLESVILLE, OK 74006-7733
(918) 766-3383
Mailing address
1430 HARRIS DR, BARTLESVILLE, OK 74006-5417
(918) 766-3383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2561
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215168570
—
OK
Enumeration date
05/25/2012
Last updated
05/25/2012
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