Doctor Name: | MRS. WHITNEY KAELIN FAIRSHEETS |
NPI Number: | 1255770574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | 3859 |
Business Practice Address: | 4101 Nw 122nd St Ste C Oklahoma City, OK - 731208816 |
Business Phone Number: | 4055629260 |
Business Fax Number: | 4052609559 |
Mailing Address: | 2417 Nw 186th St, EDMOND |
State: | OK |
Postal Code: | 730127663 |
Phone Number: | 4055094168 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3859 |
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 |