Organization
SPEECH PATHOLOGY SERVICES, LLC
Active
Parent organization
BRENDA DAVIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENDA DAVIS
Authorized official
BRENDA DAVIS M.ED., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(405) 640-7045
Entity
Organization
Contact information
Practice address
8524 S WESTERN AVE, SUITE - 112, OKLAHOMA CITY, OK 73139-9246
(405) 640-7045
(405) 702-9397
Mailing address
8524 S WESTERN AVE, SUITE - 112, OKLAHOMA CITY, OK 73139-9246
(405) 640-7045
(405) 702-9397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2755
OK
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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