NPI | 1225562085 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON NICOLE MIZE Speech Language Pathologist/Owner 405-651-4190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: OK 4014) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2017-04-18 |