| NPI | 1467180398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELAINE WHITE Speech Language Pathologist 405-639-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-15 |