| NPI | 1316829377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN SHEPHERD Speech Language Pathologist 918-533-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-09-12 |