Individual
EMILY RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HANNER HALL, STILLWATER, OK 74078-5062
(405) 744-6021
(405) 744-8070
Mailing address
1305 GREYSTONE ST, STILLWATER, OK 74074-1218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2295
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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