Individual
HEATHER PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
Mailing address
11021 S NANDINA AVE, JENKS, OK 74037-2623
(918) 619-2435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y 200084710A
—
OK
Enumeration date
11/01/2006
Last updated
03/31/2010
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