Organization Name: | COMPREHENSIVE COMMUNICATION CENTER, INC. |
NPI Number: | 1174779078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEY RYAN SIMPSON (PRESIDENT) |
Mailing Address: | 2708 Little John Dr Durant |
State: | OK US |
Postal Code: | 747011661 |
Phone Number: | 5803801885 |
Fax Number: | 9188944431 |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2988 |
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 |