Organization
OWASSO SPEECH CO LLC
Active
Other names
Owasso Speech Co
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY MOSEBY M.S. CCC-SLP (OWNER/ SPEECH LANGUAGE PATHOLOGIST)
(918) 855-5338
Entity
Organization
Contact information
Practice address
10310 N 138TH EAST AVE STE 101, OWASSO, OK 74055-4611
(918) 855-5338
Mailing address
1301 W SOUTH ST, COLLINSVILLE, OK 74021-3017
(918) 855-5338
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992328389
NPI
OK
Enumeration date
03/29/2024
Last updated
03/29/2024
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