| NPI | 1215019344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. PICKLE Speech Language Pathologist 918-649-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 636) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |