Individual
MRS. RACHEL ANNE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7112 S MINGO RD, SUITE 108, TULSA, OK 74133-3201
(918) 250-7093
(918) 250-9976
Mailing address
7518 S 95TH EAST AVE, TULSA, OK 74133-5264
(918) 250-7092
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2794
OK
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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