Sharon Mills
Individual provider Active NPI Speech-Language Pathologist · Keota, OK
NPI 1104293539 · NPPES record last updated Sep 2, 2015
Key facts
- NPI
- 1104293539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2638 (OK)
- Practice address
- 510 E 7TH St
Keota, OK 74941-6788 - Phone
- (918) 448-4540
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2638 | OK | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2638 | OK | Yes |
Addresses
Primary practice location
510 E 7TH St
Keota, OK 74941-6788
Mailing address
510 E 7TH St
Keota, OK 74941-6788
Other providers in Keota, OK
- Holistic Home Care Home Health LLC
- April Dawn Hume
- Rachel Alicia Jaspersen
- Keota Public School
- April Louise Lantz
- Marcia Lynn Parker
- Melissia W Pettigrew
- Prosperity Therapy Services Inc
- Mary Elizabeth Quirk
- Jeannette Ann Sharp
All providers in Keota, 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 Sep 2, 2015. 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.