Doctor Name: | JANET AUGERHOLE |
NPI Number: | 1134439862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC |
License Number: | 2258 |
Business Practice Address: | 1724 S. Harvard Ave Tulsa, OK - 74112 |
Business Phone Number: | 9182507093 |
Business Fax Number: | 9182509976 |
Mailing Address: | 1724 S. Harvard Ave, TULSA |
State: | OK |
Postal Code: | 74112 |
Phone Number: | 9182507093 |
Fax Number: | 9182509976 |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2258 |
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 |