Individual provider · NPI-1

Indu Aggarwal

Speech-Language Pathologist, · Oklahoma City, OK

NPI number1497388250
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1497388250
Entity type
Individual (NPI-1)
Name
Indu Aggarwal
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2020
Certification date
Apr 4, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4320OKYes
235Z00000X Speech-Language Pathologist,14062347OK

Practice location

14901 N Penn Ave
Oklahoma City, OK 73134-6069

Phone 405-752-1200

Mailing address

3513 Nw 175th St
Edmond, OK 73012-0602

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