Organization Name: | LESLIE R. FLOWERS, MS CCC-SLP/PC |
NPI Number: | 1639436751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE FLOWERS (PRESIDENT) |
Mailing Address: | 8301 Melanie Way Edmond |
State: | OK US |
Postal Code: | 730251561 |
Phone Number: | 4053704570 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2978 |
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 |