Vickie Watson, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Valliant, OK

NPI 1104778752 · NPPES record last updated Feb 13, 2026

Key facts

NPI
1104778752
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3185 (OK)
Practice address
PO Box 797
Valliant, OK 74764-0797
Phone
(580) 448-2021
Fax
(580) 448-0021
NPI assigned
Feb 13, 2026
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3185OKMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3185 OK Yes

Addresses

Primary practice location

PO Box 797
Valliant, OK 74764-0797

Mailing address

PO Box 797
Valliant, OK 74764-0797
Phone (580) 448-2021

Other providers in Valliant, OK

All providers in Valliant, OK · Speech-Language Pathologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.