Individual
MRS. GINA DIAN FEIOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-4258
Mailing address
204 W LOS ANGELES ST, BROKEN ARROW, OK 74011-5039
(918) 455-5116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2213
OK
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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