Organization
DENISE BANDL
Active
Other names
Speech Pathology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BANDL M.S., CCC-SLP, ATP (OWNER)
(918) 695-2672
Entity
Organization
Contact information
Practice address
910 W CADDO ST, CLEVELAND, OK 74020-4256
(918) 695-2672
(918) 695-2672
Mailing address
1071 CHICKASAW RD, SAND SPRINGS, OK 74063-6865
(918) 695-2672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
874
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100656260A
—
OK
Enumeration date
07/21/2017
Last updated
03/17/2018
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