Provider Demographics
NPI:1235717711
Name:DRISKELL SPEECH SERVICES, PLLC
Entity Type:Organization
Organization Name:DRISKELL SPEECH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:405-779-3270
Mailing Address - Street 1:400 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-5529
Mailing Address - Country:US
Mailing Address - Phone:405-779-3270
Mailing Address - Fax:405-293-3500
Practice Address - Street 1:400 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-5529
Practice Address - Country:US
Practice Address - Phone:405-779-3270
Practice Address - Fax:405-293-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty