Individual
MRS. LOGAN HENDRIX-MOULDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
6849 S CANTON AVE, TULSA, OK 74136-3405
(918) 806-0106
Mailing address
7109 E 69TH ST, TULSA, OK 74133-7704
(405) 760-5250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14334603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14334603
—
OK
Enumeration date
03/30/2026
Last updated
03/30/2026
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