| NPI | 1417619719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKY JO BROWN Speech Language Pathologist 918-384-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-03-20 |