Provider Demographics
NPI:1457450132
Name:ADAMS, DEANNA K (MS)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:K
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 139
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-9668
Mailing Address - Country:US
Mailing Address - Phone:918-823-4391
Mailing Address - Fax:918-823-4391
Practice Address - Street 1:RR 2 BOX 139
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-9668
Practice Address - Country:US
Practice Address - Phone:918-823-4391
Practice Address - Fax:918-823-4391
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK118235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist