Doctor Name: | JILL MEFFORD |
NPI Number: | 1831463462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2289 |
Business Practice Address: | 511 E Lee Ave Sapulpa, OK - 740664308 |
Business Phone Number: | 9182243400 |
Business Fax Number: | |
Mailing Address: | 511 E Lee Ave, SAPULPA |
State: | OK |
Postal Code: | 740664308 |
Phone Number: | 9182243400 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2012 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2289 |
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 |