Individual
KAITLYN D POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
814 S WALNUT ST, STILLWATER, OK 74074-4225
(405) 377-8255
Mailing address
811 E VIRGINIA AVE, STILLWATER, OK 74075-7919
(405) 377-8255
(405) 835-3920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4260
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356746184
—
OK
Enumeration date
12/10/2017
Last updated
08/25/2021
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