Individual
MRS. KRISTINA ALYCIA FREEBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. CCC-SLP
Contact information
Practice address
120 LESTER LN, PURCELL, OK 73080-5451
(405) 766-1238
(405) 310-0679
Mailing address
18550 144TH ST, LEXINGTON, OK 73051-6803
(405) 609-4618
(405) 310-0679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
011976
GA
235Z00000X
Speech-Language Pathologist
119383
TX
235Z00000X
Speech-Language Pathologist
13641
AZ
235Z00000X
Speech-Language Pathologist
19013
CA
235Z00000X
Speech-Language Pathologist
Primary
4171
OK
235Z00000X
Speech-Language Pathologist
SP3377
NV
235Z00000X
Speech-Language Pathologist
TPSA160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200952980A
—
OK
05
—
200954240A
—
OK
Enumeration date
01/15/2014
Last updated
02/05/2026
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