Creative Speech Therapy
Organization Active NPI Speech-Language Pathologist · Bixby, OK
NPI 1063567147 · NPPES record last updated Jul 30, 2009
Key facts
- NPI
- 1063567147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2603 (OK)
- Legal business name
- CREATIVE SPEECH THERAPY
- Practice address
- 2615 E 138TH St S
Bixby, OK 74008-3878 - Phone
- (918) 734-7115
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tamela Covey
- Title
- Speech Pathologist
- Phone
- (918) 743-3530
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 2603 | OK | Yes |
Addresses
Primary practice location
2615 E 138TH St S
Bixby, OK 74008-3878
Mailing address
PO Box 471674
Tulsa, OK 74147-1674
Phone (918) 734-7115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697658 | Other | OK | UNITED HEALTHCARE |
| 005308803873 | Other | OK | BCBSOK |
| 7392760 | Other | OK | AETNA |
| 100677120A | Medicaid | OK |
Other providers in Bixby, OK
- Kerri Cornwell
- Glen Craig Corvin
- Brooke Coy
- Craig C Hine DDS PC
- Donna D Crawford
- Crystal Lynn Cross
- Erin Crowder
- Phyllis Renee Cuaderes
- Raenalle J Degidio
- Dental Arts of Bixby, LLC
All providers in Bixby, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.