Individual
LINDA RAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8524 S WESTERN AVE, SUITE 112, OKLAHOMA CITY, OK 73139-9246
(405) 702-9396
(405) 702-9397
Mailing address
950507 S HIGHWAY 18, CHANDLER, OK 74834-4244
(405) 258-2839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2779
OK
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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