Doctor Name: | MS. MALINDA VINEYARD HARRIS-SILK |
NPI Number: | 1467702605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCC-SP |
License Number: | 2215 |
Business Practice Address: | 3030 Nw Expressway #809 Okc, OK - 73112 |
Business Phone Number: | 4059177160 |
Business Fax Number: | |
Mailing Address: | 13905 Plymouth Xing, EDMOND |
State: | OK |
Postal Code: | 730137037 |
Phone Number: | 4053888787 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2215 |
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 |