Deirdre Colleen Fudge, M.Ed. CCC-SLP
Speech-Language Pathologist, in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1164066585
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1164066585
- Entity type
- Individual (NPI-1)
- Name
- Deirdre Colleen Fudge
- Credential
- M.Ed. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2681 | OK | Yes |
Practice location
3341 Nw 19th StOklahoma City, OK 73107-3827
Phone 405-314-7408
Mailing address
3341 Nw 19th StOklahoma City, OK 73107-3827
Phone 405-314-7408
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All 463 Speech-Language Pathologist providers in Oklahoma City · All 27,799 providers in Oklahoma City
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