Individual
MRS. DENISE BANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, ATP
Contact information
Practice address
1071 CHICKASAW RD, SAND SPRINGS, OK 74063-6865
(918) 494-0190
(866) 516-8160
Mailing address
1071 CHICKASAW RD, SAND SPRINGS, OK 74063-6865
(918) 695-2672
(866) 516-8160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
874
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100656260A
—
OK
Enumeration date
07/17/2006
Last updated
04/07/2015
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