29th Street Therapy

NPI #1578957684 in Chickasha, Oklahoma

Provider Information

NPI Number
1578957684
Entity Type
Organization
Organization Name
29th Street Therapy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 26, 2015
Last Updated
Mar 26, 2015

Practice Location

Address
1211 S 29TH ST
ZIP Code
73018-9651
Phone
(405) 224-0002

Authorized Official

Name
MS. DANIELLE EVA KLEVGARD, M.A. CCC-SLP
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(405) 669-0908

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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