Individual
MRS. STEPHANIE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1865 S INDIAN MERIDIAN, CHOCTAW, OK 73020-6523
(405) 390-8585
Mailing address
1865 S INDIAN MERIDIAN, CHOCTAW, OK 73020-6523
(405) 390-8585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3538
OK
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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