Doctor Name: | MRS. ANN DELL YEAKLEY |
NPI Number: | 1336520063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | 2560 |
Business Practice Address: | 6721 Nw 42nd St Bethany, OK - 730082664 |
Business Phone Number: | 4054994611 |
Business Fax Number: | |
Mailing Address: | 6721 Nw 42nd St, BETHANY |
State: | OK |
Postal Code: | 730082664 |
Phone Number: | 4054994611 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2560 |
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 |