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WYATT SPEECH THERAPY SERVICES PLLC NPI 1982374013


NPI Information

NPI: 1982374013
Provider Name: WYATT SPEECH THERAPY SERVICES, PLLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
407 S MUSKOGEE AVE
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 931-3171
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WYATT SPEECH THERAPY SERVICES, PLLC is a speech language pathologist in Tahlequah, OK. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. WYATT SPEECH THERAPY SERVICES, PLLC NPI is 1982374013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

407 S MUSKOGEE AVE
TAHLEQUAH, OK
ZIP 74464-427
Phone: (918) 931-3171
Fax: (877) 540-0882

The provider's authorized official is Sasha Wyatt .
The authorized official title is Speech-language Pathologist and has the following contact phone number (918) 931-3171.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11770854879MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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