Individual
TAYLOR CHARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
16712 VENTANA BLVD, EDMOND, OK 73012-8988
(405) 574-6497
Mailing address
16712 VENTANA BLVD, EDMOND, OK 73012-8988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4018
OK
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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