Individual
MRS. MICHELLE L TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1718
Mailing address
17217 VITORIA DR, OKLAHOMA CITY, OK 73170-6618
(405) 307-1718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3492
OK
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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