Organization
OKLAHOMA SPEECH CONSULTANTS, PLLC
Active
Other names
Latitude Learning and Therapy Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KARI M LAXSON MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 209-2748
Entity
Organization
Contact information
Practice address
1318 E INDEPENDENCE ST, SHAWNEE, OK 74804-4137
(405) 275-1801
(866) 347-6279
Mailing address
1318 E INDEPENDENCE ST, SHAWNEE, OK 74804-4137
(405) 275-1801
(866) 347-6279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
3606
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321560A
—
OK
Enumeration date
02/18/2011
Last updated
10/09/2014
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