| 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 |