Wyse, Tara Suzanne
Wyse, Tara Suzanne is an individual health care provider with primary practice located at 2244 E Shawnee Byp , Muskogee OK 74403-1446. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wyse, Tara Suzanne can be contacted via phone (918) 684-9999.Contact Information
Primary practice address
2244 E Shawnee Byp
Muskogee OK 74403-1446
Phone: (918) 684-9999
Fax: (888) 663-4223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4877 | Oklahoma |
Profile Details
| NPI number | 1174075261 |
|---|---|
| LBN Legal business name | Wyse, Tara Suzanne |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2016 |
| Last updated | Feb 2nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174075261 | NPPES |
| Oklahoma | MEDICAID | 200823950A |
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