Doctor Name: | MRS. JACKI LYNN NOBLE |
NPI Number: | 1710267356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 2312 |
Business Practice Address: | 17416 S 91st East Ave Bixby, OK - 740086415 |
Business Phone Number: | 9187060989 |
Business Fax Number: | |
Mailing Address: | 17416 S 91st East Ave, BIXBY |
State: | OK |
Postal Code: | 740086415 |
Phone Number: | 9187060989 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2011 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2312 |
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 |