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Individual

ASHLIE NIDIFFER-TULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
9422 S ELWOOD AVE STE 100, JENKS, OK 74037-2317
(918) 869-6379
(918) 627-7896
Mailing address
9422 S ELWOOD AVE STE 100, JENKS, OK 74037-2317
(918) 869-6379
(918) 627-7896

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5986
OK

Other

Enumeration date
08/07/2023
Last updated
06/25/2025
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