| Doctor Name: | MS. HEATHER LYNN SAMPLE GOSSE |
| NPI Number: | 1376714337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. CCC-SLP |
| License Number: | 3349 |
| Business Practice Address: | 825 Ne 14th Street John W Keys Speech And Hearing Center Oklahoma City, OK - 731044649 |
| Business Phone Number: | 4052714214 |
| Business Fax Number: | 4052713360 |
| Mailing Address: | 825 Ne 14th Street, John W Keys Speech And Hearing Center OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731044649 |
| Phone Number: | 4052714214 |
| Fax Number: | 4052713360 |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3349 |
| 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 |