Individual
HEATHER LEIGH SHOESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
117 WEST 5TH STREET, BARTLESVILLE, OK 74003
(918) 203-3313
(918) 512-4082
Mailing address
117 WEST 5TH STREET, BARTLESVILLE, OK 74003
(918) 203-3313
(918) 512-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4123
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4123
SPEECH LANGUAGE LICENSE
OK
Enumeration date
10/14/2019
Last updated
10/14/2019
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