Individual
ANDREA ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1012 5TH AVE, WARNER, OK 74469-6900
(918) 463-5171
(918) 463-2542
Mailing address
1012 5TH AVE, WARNER, OK 74469-6900
(918) 463-5171
(918) 463-2542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14064905
OK
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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