Individual
JUDY D DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C./SLP
Contact information
Practice address
3424 HEMLOCK LN, OKLAHOMA CITY, OK 73120-5602
(405) 755-3893
(405) 755-3950
Mailing address
3424 HEMLOCK LN, OKLAHOMA CITY, OK 73120-5602
(405) 755-3893
(405) 755-3950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002518602999
BC/BS
OK
Enumeration date
06/13/2005
Last updated
07/09/2007
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