Individual
LAURA L JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
17210 S 569 RD, TAHLEQUAH, OK 74464-1812
(918) 456-4221
(918) 456-4049
Mailing address
614 KELLY ST, TAHLEQUAH, OK 74464-5747
(918) 931-2757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2136
OK
251K00000X
Public Health or Welfare Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731145088
—
OK
Enumeration date
10/31/2014
Last updated
11/14/2017
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