Organization
DESTINATION SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALIA BREWER (SPEECH LANGUAGE PATHOLOGIST)
(405) 420-2079
Entity
Organization
Contact information
Practice address
2000 EDINBURG DR, YUKON, OK 73099-7833
(405) 420-2079
(833) 606-2033
Mailing address
2000 EDINBURG DR, YUKON, OK 73099-7833
(405) 420-2079
(833) 606-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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