Individual
COURTNEY PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 862-6065
Mailing address
10757 S BROADWAY AVE, OKLAHOMA CITY, OK 73170-6411
(405) 517-4775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5416
OK
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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