Individual
MRS. TONI MICHELLE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1876 NE HIGHWAY 20, BEND, OR 97701-4833
(541) 382-5531
(541) 383-1684
Mailing address
1876 NE HIGHWAY 20, BEND, OR 97701-4833
(541) 382-5531
(541) 383-1684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13375
OR
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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