Individual
PAIGE SUSANNA KEITHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8025 N 30TH ST, ENID, OK 73701-6864
(580) 237-6847
Mailing address
8025 N 30TH ST, ENID, OK 73701-6864
(580) 237-6847
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
325
OK
235Z00000X
Speech-Language Pathologist
Primary
3009
OK
Other
Enumeration date
12/12/2007
Last updated
03/20/2008
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