Individual
CARA PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9401 E 161ST ST S, BIXBY, OK 74008-5093
(918) 366-2249
Mailing address
17428 S 93RD EAST AVE, BIXBY, OK 74008-6460
(918) 640-5636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5403
OK
Other
Enumeration date
03/01/2022
Last updated
01/29/2024
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