Individual
TERAH WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
926 W MOORE AVE, CYRIL, OK 73029-8000
(704) 962-6836
(405) 610-1910
Mailing address
926 W MOORE AVE, CYRIL, OK 73029-8000
(704) 962-6836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12425960-4102
UT
235Z00000X
Speech-Language Pathologist
14610
NC
235Z00000X
Speech-Language Pathologist
5290
OK
235Z00000X
Speech-Language Pathologist
Primary
7962
SC
Other
Enumeration date
07/06/2020
Last updated
04/28/2025
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