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KELSEY R WISDOM M.S. CCC-SLP NPI 1245871482


NPI Information

NPI: 1245871482
Provider Name: KELSEY R WISDOM, M.S., CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
2106 S MAIN ST
GROVE, OK
ZIP 74344
Phone: (918) 964-7025
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Kelsey R Wisdom, M.S., CCC-SLP is a speech language pathologist in Grove, 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. Kelsey R Wisdom, M.S., CCC-SLP NPI is 1245871482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2106 S MAIN ST
GROVE, OK
ZIP 74344-356
Phone: (918) 964-7025
Fax: (918) 964-7024

The enumeration date for this NPI number is 9/30/2019 and was last updated on 9/30/2019.


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 Pathologist5204OKLAHOMAYes

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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