Provider Demographics
NPI:1316007933
Name:ADAMSON, SHAYLA DAWN (MS CCC A)
Entity Type:Individual
Prefix:MRS
First Name:SHAYLA
Middle Name:DAWN
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:MS CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11615 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021
Mailing Address - Country:US
Mailing Address - Phone:918-553-6026
Mailing Address - Fax:
Practice Address - Street 1:1919 S WHEELING
Practice Address - Street 2:SUITE 302
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104
Practice Address - Country:US
Practice Address - Phone:918-749-8393
Practice Address - Fax:918-747-3112
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK378231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist