Gannaway, Stephanie Lynn

Gannaway, Stephanie Lynn is an individual health care provider with primary practice located at 3824 S Boulevard Ste 110 , Edmond OK 73013-5779. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Gannaway, Stephanie Lynn can be contacted via phone (405) 562-1810.

Contact Information

Primary practice address
3824 S Boulevard Ste 110 Edmond OK 73013-5779
Phone: (405) 562-1810
Fax: (405) 562-1816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3745 Oklahoma
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 3745 Oklahoma

Profile Details

NPI number 1942593017
LBN Legal business name Gannaway, Stephanie Lynn
Credentials AU.D.,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated May 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942593017 NPPES
Oklahoma MEDICAID 200338810A

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