Individual
MRS. SEIRRA NICHOLE LEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
10020 MAHLER PL, OKLAHOMA CITY, OK 73120-3312
(405) 206-2077
Mailing address
10020 MAHLER PL, OKLAHOMA CITY, OK 73120-3312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF4859
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF4859
OKLAHOMA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OK
Enumeration date
10/29/2017
Last updated
10/29/2017
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