Individual
BAILEY LAYNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 N STILES AVE, #200, OKLAHOMA CITY, OK 73105
(405) 271-9477
Mailing address
3017 N STILES AVE STE 200, OKLAHOMA CITY, OK 73105-2805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14134442
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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