| Doctor Name: | MRS. AMY JO GREENHAW |
| NPI Number: | 1467690784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 644 |
| Business Practice Address: | 4404 W Louisville St Broken Arrow, OK - 740128870 |
| Business Phone Number: | 9188095483 |
| Business Fax Number: | |
| Mailing Address: | 5501 E 110th Pl, TULSA |
| State: | OK |
| Postal Code: | 741377257 |
| Phone Number: | 9182983757 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2009 |
| NPI Last Update Date: | 01/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 644 |
| 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 |