| NPI | 1851715395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A. PAYNE Member 918-630-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 2763) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |