Individual
MRS. ROBIN BRITTNEY BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
10424 N IMO RD, ENID, OK 73703-2105
(580) 747-1406
Mailing address
10424 N IMO RD, ENID, OK 73703-2105
(580) 747-1406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
968
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100638230B
—
OK
Enumeration date
08/22/2006
Last updated
12/03/2022
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