Individual
SUZANNE ELAINE LAURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W 5TH ST STE 1, BARTLESVILLE, OK 74003-6651
(918) 203-3313
(918) 512-4089
Mailing address
117 W 5TH ST STE 1, BARTLESVILLE, OK 74003-6651
(918) 203-3313
(918) 512-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12027458
ASHA
—
01
—
2692
OK BOARD OF EXAMINERS FOR SPEECH-LANGUAGE & AUDIOLOGY
OK
Enumeration date
06/05/2020
Last updated
06/05/2020
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