Leticia Lynn Montgomery
Individual provider Active NPI Speech-Language Assistant · Blanchard, OK
NPI 1962295204 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1962295204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SLPA403 (OK)
- Practice address
- 400 SE 2ND St
Blanchard, OK 73010-5529 - Phone
- (405) 779-3270
- NPI assigned
- May 28, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA403 | OK | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA403 | OK | Yes |
Addresses
Primary practice location
400 SE 2ND St
Blanchard, OK 73010-5529
Mailing address
4824 Deer CRK
Yukon, OK 73099-3150
Phone (405) 777-6214
Other providers in Blanchard, OK
- Kaitlin Paige Mills
- Tabitha R Mills
- Meghan Milner
- Amy L Minor
- Judith Marga Mitchell
- Virginia Ann Morrell
- Jennifer Lynne Morris
- MP Enterprises, Inc.
- Kirk Weston Murray
- Stephanie R Nesmith
All providers in Blanchard, OK · Speech-Language Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. 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.