Individual
MINDY DAWN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8827 E RENO AVE, SUITE 201, MIDWEST CITY, OK 73110-7732
(405) 610-3048
(405) 610-3049
Mailing address
3360 N AVE BLDG 685, TINKER AFB, OK 73145-9028
(405) 455-2587
(405) 733-3124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2631
OK
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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