Individual
HUNTER TYE CYBULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5830
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF422
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097700A
—
OK
Enumeration date
07/06/2022
Last updated
09/27/2022
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