Individual
MRS. STARLA DIANE NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
615 STANLEY ST SW, ARDMORE, OK 73401-4717
(580) 223-2477
Mailing address
PO BOX 1709, ARDMORE, OK 73402-1709
(580) 221-3001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3145
OK
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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