Doctor Name: | SHEA NICOLE KRABLIN |
NPI Number: | 1366694663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2927 |
Business Practice Address: | 401 West Bowman Kingfisher, OK - 73750 |
Business Phone Number: | 4053757935 |
Business Fax Number: | 4059486507 |
Mailing Address: | Po Box 268947, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731268947 |
Phone Number: | 4059478586 |
Fax Number: | 4059486507 |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2927 |
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 |