Sadena Renee Chrisman, M.S. CCC-SLP

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

NPI 1154657161 · NPPES record last updated Oct 26, 2009

Key facts

NPI
1154657161
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3532 (OK)
Practice address
40481 E 231St St S
Porter, OK 74454-3021
Phone
(918) 237-8507
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Therapy Services Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3532 OK Yes

Addresses

Primary practice location

40481 E 231St St S
Porter, OK 74454-3021

Mailing address

40481 E 231St St S
Porter, OK 74454-3021
Phone (918) 237-8507

Other providers in Porter, OK

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

Sources for this page

Verify at the official NPI Registry.