| Doctor Name: | MRS. DENISE BANDL |
| NPI Number: | 1710904438 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP, ATP |
| License Number: | 874 |
| Business Practice Address: | 1071 Chickasaw Rd Sand Springs, OK - 740636865 |
| Business Phone Number: | 9184940190 |
| Business Fax Number: | 8665168160 |
| Mailing Address: | 1071 Chickasaw Rd, SAND SPRINGS |
| State: | OK |
| Postal Code: | 740636865 |
| Phone Number: | 9186952672 |
| Fax Number: | 8665168160 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 874 |
| 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 |