Individual
MRS. KATHY AMELIA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 760-6106
(405) 720-3501
Mailing address
PO BOX 388, EDMOND, OK 73083-0388
(405) 760-6106
(405) 720-3501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3203
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085140A
—
OK
Enumeration date
11/01/2006
Last updated
05/28/2013
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