Doctor Name: | ANGELA MACRAE |
NPI Number: | 1205081601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CEY |
Business Practice Address: | 7112 S Mingo Rd Ste 108 Tulsa, OK - 741333201 |
Business Phone Number: | 9182507093 |
Business Fax Number: | 9182509976 |
Mailing Address: | 9732 S Lakewood Pl, TULSA |
State: | OK |
Postal Code: | 741375037 |
Phone Number: | 9185185813 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2008 |
NPI Last Update Date: | 11/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | CEY |
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 |