Doctor Name: | MS. MARILYN J VAN METER |
NPI Number: | 1861746133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, CCC-SLP |
License Number: | 1548 |
Business Practice Address: | 2505 Capri Dr Edmond, OK - 730346773 |
Business Phone Number: | 4054741500 |
Business Fax Number: | |
Mailing Address: | 2505 Capri Dr, EDMOND |
State: | OK |
Postal Code: | 730346773 |
Phone Number: | 4054741500 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2012 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1548 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
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 |