Organization Name: | ACEBO SPEECH AND LANGUAGE SERVICES |
NPI Number: | 1881862746 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNETTE R ACEBO (OWNER-SPEECH PATHOLOGIST) |
Mailing Address: | 510 N Douglas St Jenks |
State: | OK US |
Postal Code: | 740373801 |
Phone Number: | 9186453020 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2910 |
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 |