Individual
LOLA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP
Contact information
Practice address
1250 HALEY CIR, NOBLE, OK 73068-8763
(405) 872-0436
Mailing address
1250 HALEY CIR, NOBLE, OK 73068-8763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2128
OK
235Z00000X
Speech-Language Pathologist
8776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01092565
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
01
—
2128
OKLA BOARD OF EXAMINERS FOR SLP & A
OK
01
—
8776
SLP & A BOARD
CA
Enumeration date
08/09/2012
Last updated
08/09/2012
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