Doctor Name: | MRS. TRACI D SUTTON |
NPI Number: | 1437356862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2322 |
Business Practice Address: | 1412 N Porter Ave Norman, OK - 730716662 |
Business Phone Number: | 4057401667 |
Business Fax Number: | 4053218892 |
Mailing Address: | 4416 Newport Dr, NORMAN |
State: | OK |
Postal Code: | 730724362 |
Phone Number: | 4054473327 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2322 |
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 |