Provider Demographics
NPI:1134658024
Name:THE DEWEBER GROUP, LLC
Entity Type:Organization
Organization Name:THE DEWEBER GROUP, LLC
Other - Org Name:BILINGOALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DERICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEWEBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:405-305-8762
Mailing Address - Street 1:8800 S PENNSYLVANIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-5211
Mailing Address - Country:US
Mailing Address - Phone:405-305-8762
Mailing Address - Fax:
Practice Address - Street 1:8800 S PENNSYLVANIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-5211
Practice Address - Country:US
Practice Address - Phone:405-305-8762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty