Individual
MRS. CAMBER CHRISTINE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC, ATP
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 440-6750
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 440-6750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2583
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200564190
—
OK
Enumeration date
09/24/2014
Last updated
12/20/2017
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