Tricia Willyard M.ED. CCC-SLP

NPI 1225421456 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1225421456
Gender Female
Enumeration Date 03/12/2015
Last Updated 03/12/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
404 NORTH BOSTON
KETCHUM OK, 74349, US
Phone (918) 782-5091
Fax (918) 782-9018
Business Location
PO BOX 720
KETCHUM OK, 74349-0720, US
Phone (918) 782-5091
Fax (918) 782-9018
Toxanomy
Taxonomy Code 235Z00000X
License State Oklahoma
License Number 3059
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According to our database, Mrs. Tricia Willyard M.ED. CCC-SLP NPI is 1225421456, taxonomy code is 235Z00000X and license number is 3059, license state is located at Oklahoma. Tricia Willyard M.ED. CCC-SLP physically located at 404 North Boston, Ketchum OK, 74349. NPI Number Tricia Willyard M.ED. CCC-SLP has the Individual type.

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1225421456 NPI number is provided on an as is basis without warranty of any kind. 1225421456 is maintained by the National Plan & Provider Enumeration System. The contents of Tricia Willyard M.ED. CCC-SLP are for informational purposes only.