Individual
KATIE MICHELE WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Mailing address
2416 NW 196TH TER, EDMOND, OK 73012-3631
(405) 476-8284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
08/25/2022
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