| NPI | 1588033328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK D DEWEBER Co Owner 405-600-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3139) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |