Individual
JASON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
16684 E RENO AVE, CHOCTAW, OK 73020-7445
(405) 227-3350
Mailing address
16684 E RENO AVE, CHOCTAW, OK 73020-7445
(405) 227-3350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3497
OK
Other
Enumeration date
02/07/2017
Last updated
01/16/2025
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