Individual
KATI SHAYNE HARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6941 E 121ST ST S, BIXBY, OK 74008-2317
(918) 774-7039
Mailing address
12456 S 66TH EAST AVE, BIXBY, OK 74008-2635
(918) 774-7039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5304
OK
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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