Individual
TERESA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1101 OAK CREEK DR, MOORE, OK 73160-7910
(405) 203-3521
Mailing address
1101 OAK CREEK DR, MOORE, OK 73160-7910
(405) 203-3521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3508
OK
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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