Jessica R Mardis M.S., CCC-SLP

NPI 1043524796 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043524796
Gender Female
Enumeration Date 08/04/2010
Last Updated 08/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5744 E 63RD PL
TULSA OK, 74136-2715, US
Phone (918) 640-8221
Fax
Business Location
5744 E 63RD PL
TULSA OK, 74136-2715, US
Phone (918) 640-8221
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Oklahoma
License Number 3379
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According to our database, Mrs. Jessica R Mardis M.S., CCC-SLP NPI is 1043524796, taxonomy code is 235Z00000X and license number is 3379, license state is located at Oklahoma. Jessica R Mardis M.S., CCC-SLP physically located at 5744 E 63rd Pl, Tulsa OK, 74136-2715. NPI Number Jessica R Mardis M.S., CCC-SLP has the Individual type.

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1043524796 NPI number is provided on an as is basis without warranty of any kind. 1043524796 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica R Mardis M.S., CCC-SLP are for informational purposes only.