Individual
AMANDA DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
1724 S HARVARD AVE, TULSA, OK 74112-6826
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2979
OK
Other
Enumeration date
02/15/2010
Last updated
11/21/2014
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