| NPI | 1780491894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA DERR Owner/Slp 405-213-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-13 |