Individual
RYLIE EVAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1240
(405) 875-0040
Mailing address
900 NE 122ND ST APT 2310, OKLAHOMA CITY, OK 73114-9226
(580) 306-1294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6155
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
06/09/2024
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