Provider Demographics
NPI:1326714973
Name:MCFARLAND, MITZI ANN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MITZI
Middle Name:ANN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-6651
Mailing Address - Country:US
Mailing Address - Phone:918-684-3700
Mailing Address - Fax:918-684-3724
Practice Address - Street 1:200 S COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-6200
Practice Address - Country:US
Practice Address - Phone:918-684-3880
Practice Address - Fax:918-684-3881
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist