Kyra Deanna Hirsch

Individual provider Active NPI Speech-Language Assistant · Buffalo, OK

NPI 1295337103 · NPPES record last updated Nov 15, 2020

Key facts

NPI
1295337103
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA200 (OK)
Practice address
18934 US Highway 64
Buffalo, OK 73834-8907
Phone
(605) 870-1482
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA200OKMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA200 OK Yes

Addresses

Primary practice location

18934 US Highway 64
Buffalo, OK 73834-8907

Mailing address

18934 US Highway 64
Buffalo, OK 73834-8907
Phone (605) 870-1482

Other names

  • Ms. Kyra Deanna Lauer Former name

Other providers in Buffalo, OK

All providers in Buffalo, OK · Speech-Language Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.