Individual
MS. ABBY M. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
701 S 8TH ST, MCLOUD, OK 74851
(405) 964-2961
Mailing address
701 S 8TH ST, MCLOUD, OK 74851-8500
(405) 964-2961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4709
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
07/13/2016
Last updated
08/25/2018
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