Laura Jill Diamond

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

NPI 1982884664 · NPPES record last updated Nov 9, 2007

Key facts

NPI
1982884664
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3355 (OK)
Practice address
16414 E 50TH St
Tulsa, OK 74134-7183
Phone
(918) 355-6996
NPI assigned
Nov 9, 2007
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

State licenses

LicenseStateTypeSpecialty
3355OKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3355 OK Yes

Addresses

Primary practice location

16414 E 50TH St
Tulsa, OK 74134-7183

Mailing address

16414 E 50TH St
Tulsa, OK 74134-7183
Phone (918) 355-6996

Other providers in Tulsa, OK

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

Sources for this page

Verify at the official NPI Registry.