Wyatt Speech Therapy Services, Pllc

LBN: Wyatt Speech Therapy Services, Pllc
Wyatt Speech Therapy Services, Pllc is an health care organization with primary practice located at 407 S Muskogee Ave , Tahlequah OK 74464-4427. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Wyatt Speech Therapy Services, Pllc can be contacted via phone (918) 931-3171, or through Wyatt, Sasha via phone (918) 931-3171.

Contact Information

Primary practice address
407 S Muskogee Ave Tahlequah OK 74464-4427
Phone: (918) 931-3171
Fax: (877) 540-0882
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Sasha M.S., CCC-SLP
Phone: (918) 931-3171

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1982374013
LBN Legal business name Wyatt Speech Therapy Services, Pllc
DBA Doing business as
Authorized official Wyatt, Sasha M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2021
Last updated Sep 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982374013 NPPES
Oklahoma MEDICAID 1770854879

Popular Providers