Organization
CHRISTINA CID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CID MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(405) 413-2655
Entity
Organization
Contact information
Practice address
515 S SANTA FE AVE STE 104, EDMOND, OK 73003-6286
(405) 413-2655
Mailing address
13176 CHINKAPIN OAK PL, CHOCTAW, OK 73020-2006
(405) 413-2655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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