Janice Adriance Fonkalsrud M.A., CCC-SLP

NPI 1326122821 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1326122821
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5350 E 46TH ST
SUITE 100
TULSA OK, 74135-6612, US
Phone (918) 660-6886
Fax (918) 660-0874
Business Location
5350 E 46TH ST
SUITE 100
TULSA OK, 74135-6612, US
Phone (918) 660-6886
Fax (918) 660-0874
Toxanomy
Taxonomy Code 235Z00000X
License State Oklahoma
License Number 158
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According to our database, Mrs. Janice Adriance Fonkalsrud M.A., CCC-SLP NPI is 1326122821, taxonomy code is 235Z00000X and license number is 158, license state is located at Oklahoma. Janice Adriance Fonkalsrud M.A., CCC-SLP physically located at 5350 E 46th St, Tulsa OK, 74135-6612. NPI Number Janice Adriance Fonkalsrud M.A., CCC-SLP has the Individual type.

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1326122821 NPI number is provided on an as is basis without warranty of any kind. 1326122821 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Adriance Fonkalsrud M.A., CCC-SLP are for informational purposes only.