Ok Peds Pediatric Therapy Services

Organization Active NPI Hearing and Speech Clinic/Center · Newalla, OK

NPI 1578114591 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1578114591
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
Legal business name
OK PEDS PEDIATRIC THERAPY SERVICES
Practice address
7301 S Harrah Rd
Newalla, OK 74857-7912
Phone
(405) 659-6390
Fax
(855) 933-0242
NPI assigned
Sep 20, 2019
Organization subpart
No

Authorized official

Name
Seirra Lewelling, M.S. CCC-SLP/L
Title
Owner/Speech-Language Pathologist
Phone
(405) 659-6390

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Yes

Addresses

Primary practice location

7301 S Harrah Rd
Newalla, OK 74857-7912

Mailing address

7301 S Harrah Rd
Newalla, OK 74857-7912
Phone (405) 659-6390

Other identifiers

IdentifierTypeStateIssuer
200769930AMedicaidOK

Other providers in Newalla, OK

All providers in Newalla, OK · Hearing and Speech Clinic/Center in Oklahoma

Sources for this page

Verify at the official NPI Registry.