Doctor Name: | MS. AMBER WYATT |
NPI Number: | 1164467759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP3077 |
Business Practice Address: | 7608 E 91st St Tulsa, OK - 74133 |
Business Phone Number: | 9186630606 |
Business Fax Number: | 9186638754 |
Mailing Address: | 7608 E 91st St, TULSA |
State: | OK |
Postal Code: | 74133 |
Phone Number: | 9186630606 |
Fax Number: | 9186638754 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP3077 |
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 |