Individual provider · NPI-1
Stephanie Leigh Anderson, MS, CCC-SLP
Speech-Language Pathologist, · Oklahoma City, OK
NPI number1750089215
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1750089215
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Leigh Anderson
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 5007 | OK | Yes |
Practice location
2401 Nw 23rd St Ste 2dOklahoma City, OK 73107-2420
Phone 405-355-3239
Mailing address
2401 Nw 23rd St Ste 2dOklahoma City, OK 73107-2420
Phone 405-355-3239
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