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Organization

THE SCHOLL CENTER FOR COMMUNICATION DISORDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE ROGERS SCHOLL AUD (OWNER/PROVIDER)
(918) 508-7601
Entity
Organization

Contact information

Practice address
4415 S HARVARD AVE STE 125, TULSA, OK 74135-9700
(918) 508-7601
(918) 508-7603
Mailing address
PO BOX 21228 DEPT 13, TULSA, OK 74121-1228
(918) 508-7601
(918) 508-7602

Taxonomy

Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
278
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OKB5414
MEDICARE PTAN
OK
Enumeration date
12/10/2008
Last updated
10/23/2012
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