Doctor Name: | WENDY EILEEN SPRAGUE |
NPI Number: | 1285985986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 100811 |
Business Practice Address: | 402 W Main St Antlers, OK - 745232087 |
Business Phone Number: | 5802989818 |
Business Fax Number: | |
Mailing Address: | Hc 66 Box 235, MOYERS |
State: | OK |
Postal Code: | 745579700 |
Phone Number: | 8179991435 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100811 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |