Individual
MS. MARELLA KAY MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP/L
Contact information
Practice address
2500 HAND RD, MIDWEST CITY, OK 73130-8002
(405) 769-4946
Mailing address
2500 HAND RD, MIDWEST CITY, OK 73130-8002
(405) 769-4946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
729
OK
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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