Organization
COMMUNICATION GAP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA SHULTZABARGER M. ED., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(405) 840-1335
Entity
Organization
Contact information
Practice address
7201 NORTH CLASSEN BLVD., SUITE 106, OKLAHOMA CITY, OK 73116-7123
(405) 840-1335
(405) 840-1336
Mailing address
7201 NORTH CLASSEN BLVD., SUITE 106, OKLAHOMA CITY, OK 73116-7123
(405) 840-1335
(405) 840-1336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100656080B
—
OK
Enumeration date
08/15/2006
Last updated
02/23/2009
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