| NPI | 1891922407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE KUPER Speech Language Pathologist 918-812-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3016) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2010-06-22 |