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Tara Michelle Stephens, MS CCC

Speech-Language Pathologist, in Blanchard, OK. Individual provider (NPI-1).

NPI number1417198466
StatusActive
Last updated in NPPESNov 6, 2024

Details

NPI
1417198466
Entity type
Individual (NPI-1)
Name
Mrs. Tara Michelle Stephens
Credential
MS CCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2009
Last updated
Nov 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2947OKYes

Practice location

25888 May Ave
Blanchard, OK 73010-4811

Phone 405-485-3650

Mailing address

25888 May Ave
Blanchard, OK 73010

Phone 405-485-3650

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