Individual
ELIZABETH ANN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5110 S YALE AVE, SUITE 102, TULSA, OK 74135-7401
(918) 492-2386
Mailing address
11613 N 193RD EAST AVE, COLLINSVILLE, OK 74021-6215
(918) 855-0102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4427
OK
Other
Enumeration date
06/30/2015
Last updated
08/03/2015
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