Individual
CHRISTY CHESNUT LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5828 S 78TH EAST AVE, TULSA, OK 74145-8606
(508) 654-7478
Mailing address
5828 S 78TH EAST AVE, TULSA, OK 74145-8606
(508) 654-7478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18672
CA
235Z00000X
Speech-Language Pathologist
3076
KS
235Z00000X
Speech-Language Pathologist
Primary
4102
OK
Other
Enumeration date
07/12/2008
Last updated
08/16/2016
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