Doctor Name: | MRS. MARY ELAINE RAINWATER |
NPI Number: | 1396917027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 3334 |
Business Practice Address: | 23047 E 830 Rd Welling, OK - 744712144 |
Business Phone Number: | 9184539896 |
Business Fax Number: | |
Mailing Address: | Po Box 741, CHECOTAH |
State: | OK |
Postal Code: | 744260741 |
Phone Number: | 9185216614 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3334 |
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 |