Individual
MRS. KATELYN GRACE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5404
Mailing address
9904 RUTLAND TER, YUKON, OK 73099-7948
(580) 284-2379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14364181
OK
Other
Enumeration date
10/24/2021
Last updated
08/05/2022
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