Kathryn Bacon, M.Ed. CCC-SLP
Speech-Language Pathologist, in Tulsa, OK. Individual provider (NPI-1).
NPI number1154875771
StatusActive
Last updated in NPPESAug 11, 2016
Details
- NPI
- 1154875771
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathryn Bacon
- Credential
- M.Ed. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2016
- Last updated
- Aug 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2651 | OK | Yes |
Practice location
6939 S 28th West AveTulsa, OK 74132-1738
Phone 918-906-9751
Mailing address
6939 S 28th West AveTulsa, OK 74132-1738
Phone 918-906-9751
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