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>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1265813695

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
499 W BOUNDRY 275 W. MAIN KANSAS, OK 74347-1662 US
Tel: 918-868-2567  Fax: 918-868-5584

Contact information for business:
10410 E 540  SALINA, OK 74365-2526 US
Tel: 918-521-7172  Fax: 918-868-5584

Registration Information:
NPI: 1265813695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Legacy codes, insurance codes and state license numbers:



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