NPI | 1457611394 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA LYNN SEVERSON Owner, Speech Pathologist 918-766-3383 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 2561) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2012-05-25 |