| NPI | 1629373451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK D DEWEBER Owner 405-601-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3139) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |