| NPI | 1174779078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RYAN SIMPSON President 580-380-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2988) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |