Individual
MS. JANETT DENISE NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4017 PRICE RD, SUITE 2, BARTLESVILLE, OK 74006-7248
(918) 397-1993
(918) 331-0002
Mailing address
PO BOX 3333, BARTLESVILLE, OK 74006-3333
(918) 397-1993
(918) 331-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083180A
—
OK
Enumeration date
08/31/2006
Last updated
04/04/2011
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