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TINA LINN M.S. CCC-SLP

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

Registrant NPI Number: 1548346000

Individual Registrant:
 TINA  LINN M.S. CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
18220 S HIGHWAY 75  MOUNDS, OK 74047-4712 US
Tel: 918-827-3587  Fax: --

Contact information for business:
18220 S HIGHWAY 75  MOUNDS, OK 74047-4712 US
Tel: 918-827-3587  Fax: --

Registration Information:
NPI: 1548346000
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
OK969

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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