Individual
JAYCIE GAY WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-4625
(405) 548-4300
(405) 548-4350
Mailing address
11500 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-4625
(405) 548-4300
(405) 548-4350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
121287
TX
235Z00000X
Speech-Language Pathologist
Primary
6484
OK
Other
Enumeration date
09/28/2023
Last updated
06/27/2025
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