Individual
MRS. KARISSA P. MARION-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1201 W. BOYD ST., NORMAN, OK 73069-4801
(405) 366-7898
(405) 366-0010
Mailing address
7601 LIPIZZAN RD, OKLAHOMA CITY, OK 73132-0006
(405) 366-7898
(405) 366-0010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5726
OK
235Z00000X
Speech-Language Pathologist
CF332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200988050A
—
OK
Enumeration date
05/28/2021
Last updated
09/01/2023
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