Tyelinda Baumgardner, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Oklahoma City, OK
NPI 1891064259 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1891064259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3010 (OK)
- Practice address
- 2416 N Ann Arbor Ave
Oklahoma City, OK 73127-1811 - Phone
- (405) 942-4895
- Fax
- (405) 942-4895
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | OK | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3010 | OK | Yes |
Addresses
Primary practice location
2416 N Ann Arbor Ave
Oklahoma City, OK 73127-1811
Mailing address
10042 Southridge Dr
Oklahoma City, OK 73159-7329
Phone (405) 613-5367
Other providers in Oklahoma City, OK
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- Bryce Edward Baumann
- Robert E. Baumann
- Ottilie Aloise Baumgardner
- Neal L Baumwart
- Carol Baustert
- Dean A. Baustert I
- Ami Beth Bax
- Allison Baxley
All providers in Oklahoma City, 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 Dec 14, 2011. 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.