Individual
MRS. JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. C.C.C--SLP
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 381-7843
Mailing address
5728 E 7TH ST, TULSA, OK 74112-2911
(918) 381-7843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4735
OK
Other
Enumeration date
04/11/2018
Last updated
05/06/2024
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