Individual
JANIS ANN STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4517 S PEORIA AVE, #11, TULSA, OK 74105-4578
(918) 850-0461
(918) 743-5050
Mailing address
4517 S PEORIA AVE, #11, TULSA, OK 74105-4578
(918) 850-0461
(918) 743-5050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
638
OK
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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