Andrea Ulmer, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Warner, OK
NPI 1457914673 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1457914673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14064905 (OK)
- Practice address
- 1012 5TH Ave
Warner, OK 74469-6900 - Phone
- (918) 463-5171
- Fax
- (918) 463-2542
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 14064905 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warner Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14064905 | OK | Yes |
Addresses
Primary practice location
1012 5TH Ave
Warner, OK 74469-6900
Mailing address
1012 5TH Ave
Warner, OK 74469-6900
Phone (918) 463-5171
Other providers in Warner, OK
- Chris D Parris
- Tera Dee Robbins
- Kendall Rosson
- Steven J. Salmon
- Sequoyah County Drug Company PLLC
- Warner Public Schools
- Jerri Suzette White
All providers in Warner, 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 Apr 15, 2019. 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.