Individual
MS. ELIZABETH FISACKERLY TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12710 OAKDALE FOREST CT, EDMOND, OK 73013-7531
(405) 475-9420
Mailing address
12710 OAKDALE FOREST CT, EDMOND, OK 73013-7531
(405) 475-9420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
972
OK
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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