| NPI | 1023552965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI SHERIDAN Credentialing Coordinator 405-355-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |