Individual
TYELINDA BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2416 N ANN ARBOR AVE, OKLAHOMA CITY, OK 73127-1811
(405) 942-4895
(405) 942-4895
Mailing address
10042 SOUTHRIDGE DR, OKLAHOMA CITY, OK 73159-7329
(405) 613-5367
(405) 942-4895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3010
OK
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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