Organization
DG SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JEANE GREGORY (OWNER)
(918) 766-5535
Entity
Organization
Contact information
Practice address
10711 E 119TH CT N, COLLINSVILLE, OK 74021-5540
(918) 766-5535
Mailing address
10711 E 119TH CT N, COLLINSVILLE, OK 74021-5540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201164340
—
OK
Enumeration date
01/08/2026
Last updated
01/08/2026
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