Supplemental Healthcare
NPI #1568759587 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1568759587
- Entity Type
- Organization
- Organization Name
- Supplemental Healthcare
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 29, 2011
- Last Updated
- Jun 29, 2011
Practice Location
- Address
- 3030 NW EXPRESSWAY
- Address 2
- SUITE #809
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-5474
- Phone
- (405) 917-7160
Authorized Official
- Name
- AJ WHITLEY
- Title
- STAFFING MANAGER
- Phone
- (405) 917-7160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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