Individual
MS. TERESA A MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100503
TX
235Z00000X
Speech-Language Pathologist
Primary
4524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126779
CHIP PROVIDER NUMBER
TX
05
—
169697301
—
TX
01
—
8T3014
BCBS PROVIDER NUMBER
TX
Enumeration date
01/31/2007
Last updated
09/21/2016
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