Provider Demographics
NPI:1033561683
Name:FARMER, NATALIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:FARMER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 N BREWER ST
Mailing Address - Street 2:
Mailing Address - City:VINITA
Mailing Address - State:OK
Mailing Address - Zip Code:74301-1439
Mailing Address - Country:US
Mailing Address - Phone:918-256-9207
Mailing Address - Fax:918-256-9209
Practice Address - Street 1:715 N BREWER ST
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-1439
Practice Address - Country:US
Practice Address - Phone:918-256-9207
Practice Address - Fax:918-256-9209
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4294235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist