Brittany Mansel

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

NPI 1467858076 · NPPES record last updated Nov 8, 2014

Key facts

NPI
1467858076
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4078 (OK)
Practice address
206 NW Cherry Ave
Cache, OK 73527-9230
Phone
(580) 305-0498
NPI assigned
Nov 8, 2014
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
4078OKMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4078 OK Yes

Addresses

Primary practice location

206 NW Cherry Ave
Cache, OK 73527-9230

Mailing address

206 NW Cherry Ave
Cache, OK 73527-9230
Phone (580) 305-0498

Other providers in Cache, OK

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

Sources for this page

Verify at the official NPI Registry.