Organization Name: | TINA L. SMITH |
NPI Number: | 1316116213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA LYNNE SMITH (OWNER) |
Mailing Address: | 10344 Greenbriar Pkwy Oklahoma City |
State: | OK US |
Postal Code: | 731597643 |
Phone Number: | 4056916567 |
Fax Number: | 4053922425 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2821 |
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 |