Individual
MISS BRENDA ALANE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
308 HAMPTON DR, PONCA CITY, OK 74601-3823
(409) 750-0599
Mailing address
308 HAMPTON DR, PONCA CITY, OK 74601-3823
(409) 750-0599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101910
TX
235Z00000X
Speech-Language Pathologist
Primary
5220
OK
Other
Enumeration date
05/03/2007
Last updated
01/14/2020
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