Organization
SPEECH PATHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY OGDEN M.A. (SPEECH-LANGUAGE PATHOLOGIST)
(580) 220-7786
Entity
Organization
Contact information
Practice address
1000 ROCKFORD CT, ARDMORE, OK 73401-3408
(580) 220-7786
(580) 319-5488
Mailing address
1000 ROCKFORD CT, ARDMORE, OK 73401-3408
(580) 220-7786
(580) 319-5488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3713
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200665210A
—
OK
Enumeration date
10/07/2016
Last updated
03/19/2017
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