Doctor Name: | DR. SUZAN L WARD |
NPI Number: | 1366498255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 474 |
Business Practice Address: | 1000 Winnipeg Dr Yukon, OK - 730995434 |
Business Phone Number: | 4052450156 |
Business Fax Number: | 4052654041 |
Mailing Address: | Po Box 851413, YUKON |
State: | OK |
Postal Code: | 730851413 |
Phone Number: | 4052450156 |
Fax Number: | 4052654041 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 474 |
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 |