Doctor Name: | DEMETRA D PINOS |
NPI Number: | 1427268218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2255 |
Business Practice Address: | 1145 S. Utica Ave. Ste. 262 Tulsa, OK - 741044000 |
Business Phone Number: | 9185793035 |
Business Fax Number: | 9185793299 |
Mailing Address: | 1145 S. Utica Ave., Ste. 110 TULSA |
State: | OK |
Postal Code: | 741044013 |
Phone Number: | 9185793826 |
Fax Number: | 9185791262 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2255 |
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 |