NPI | 1629306477 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA DAVIS Speech Language Pathologist/Owner 405-640-7045 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2755) |
Enumeration Date | 2009-12-04 |
Last Update Date | 2009-12-04 |