Doctor Name: | DEANN G MERCIEZ |
NPI Number: | 1083920433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 3085 |
Business Practice Address: | 202 E 2nd Ave 106 Owasso, OK - 740553132 |
Business Phone Number: | 9186098784 |
Business Fax Number: | 9185173041 |
Mailing Address: | 202 E 2nd Ave, 106 OWASSO |
State: | OK |
Postal Code: | 740553132 |
Phone Number: | 9186098784 |
Fax Number: | 9185173041 |
NPI Enumeration Date: | 08/24/2010 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |