Individual
MRS. DEVYNNA GAYLE BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
6905 NW 122ND ST, OKLAHOMA CITY, OK 73142-3903
(405) 603-6622
Mailing address
4640 SILVER CHARM LN, EDMOND, OK 73025-2262
(405) 595-7311
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA185
OK
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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