Organization
PANKALLA SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARIE PANKALLA M.ED., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(405) 550-5691
Entity
Organization
Contact information
Practice address
5933 REGIS CT, EDMOND, OK 73034-8010
(405) 550-5691
(405) 906-3690
Mailing address
5933 REGIS CT, EDMOND, OK 73034-8010
(405) 550-5691
(405) 562-6621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214470A
—
OK
Enumeration date
10/18/2022
Last updated
12/02/2025
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