Individual
JULISSA DEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
301 S BOULEVARD STE 126, EDMOND, OK 73034-3880
(405) 285-6765
Mailing address
2257 RED BIRD, EDMOND, OK 73012-3162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5339
OK
Other
Enumeration date
05/13/2022
Last updated
06/20/2022
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