Individual
AMY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
2429 WESTPORT DR, NORMAN, OK 73069-6337
(405) 308-9120
Mailing address
2371 COUNTY ROAD 1336, BLANCHARD, OK 73010-3595
(580) 251-1220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF478
OK
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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