Individual
DIANE BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
800 SOUTH TUCKER DRIVE, UNIVERSITY OF TULSA MARY KAY CHAPMAN CLINIC, TULSA, OK 74104
(918) 631-2504
Mailing address
1820 E 47TH PL, TULSA, OK 74105-4907
(918) 520-7008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2408
OK
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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