Patricia Anne Alexander, MA CCC
Individual provider Active NPI Speech-Language Pathologist · Broken Arrow, OK
NPI 1750464871 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750464871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 366 (OK)
- Practice address
- 708 W Freeport
Broken Arrow, OK 74012 - Phone
- (918) 455-3859
- Fax
- (918) 455-3860
- NPI assigned
- Oct 23, 2006
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 366 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational Therapy Center | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 366 | OK | Yes |
Addresses
Primary practice location
708 W Freeport
Broken Arrow, OK 74012
Mailing address
708 W Freeport
Broken Arrow, OK 74012
Phone (918) 455-3859
Other providers in Broken Arrow, OK
- Bareha Ahmed
- Nafisa Tasnim Ahmed
- Rubena Shaheen Ahmed
- Barbara Albertson
- Leslie Alexander
- Rachel Nicole Alexander
- Takira Raynola Alexander
- Wendy Sheree Alexander
- Jad Alkhatib
- Abigail Keira Allan
All providers in Broken Arrow, 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 Jul 8, 2007. 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.