Individual
SHELBI PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1712 S BOULEVARD, EDMOND, OK 73013-5144
(405) 606-5768
(855) 410-3508
Mailing address
1712 S BOULEVARD, EDMOND, OK 73013-5144
(405) 606-5768
(855) 410-3508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5102
OK
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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