Organization
MELISSA BYRUM SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BYRUM MSCCC-SLP (SPEECH PATHOLOGIST/OWNER)
(405) 641-3534
Entity
Organization
Contact information
Practice address
407 E CHEROKEE AVE, MCALESTER, OK 74501-5367
(405) 641-3534
Mailing address
407 E CHEROKEE AVE, MCALESTER, OK 74501-5367
(405) 641-3534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3120
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184874000
INDIVIDUAL NPI
—
05
—
200214170A
—
OK
Enumeration date
04/15/2013
Last updated
05/21/2014
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