Individual
CALEB LEE DAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS SLP-CCC
Contact information
Practice address
1519 S BOSTON AVE, TULSA, OK 74119-4015
(918) 712-7805
Mailing address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4474
OK
Other
Enumeration date
06/02/2017
Last updated
08/23/2021
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