Diane Blackman, MSCCCSLP

NPI #1780085902 in Tulsa, Oklahoma

Provider Information

NPI Number
1780085902
Entity Type
Individual
Name
Diane Blackman, MSCCCSLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MSCCCSLP
Enumeration Date
Sep 8, 2014
Last Updated
Sep 8, 2014

Practice Location

Address
800 SOUTH TUCKER DRIVE
Address 2
UNIVERSITY OF TULSA MARY KAY CHAPMAN CLINIC
City
Tulsa
ZIP Code
74104
Phone
(918) 631-2504

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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