Individual
SOPHIA BANOS
Active
Sole proprietor
Yes
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
Primary
CF658
OK
Other
Enumeration date
01/07/2025
Last updated
02/28/2025
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