Individual
NOELLE COLEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2240 S DELAWARE CT, TULSA, OK 74114-1829
(918) 850-6368
Mailing address
2240 S DELAWARE CT, TULSA, OK 74114-1829
(918) 850-6368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3681
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508311820
—
OK
Enumeration date
08/16/2016
Last updated
08/17/2016
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