Provider Demographics
NPI:1275312084
Name:PLANT, MONICA RUTH (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:RUTH
Last Name:PLANT
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 N 76TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-7671
Mailing Address - Country:US
Mailing Address - Phone:918-851-9365
Mailing Address - Fax:
Practice Address - Street 1:10020 E 91ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5835
Practice Address - Country:US
Practice Address - Phone:918-515-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4974235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist