Provider Demographics
NPI:1518187707
Name:STARKEY, OLIVER PAUL (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:OLIVER
Middle Name:PAUL
Last Name:STARKEY
Suffix:
Gender:M
Credentials:MS 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:P.O. BOX 1792
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85636-1792
Mailing Address - Country:US
Mailing Address - Phone:520-459-0531
Mailing Address - Fax:
Practice Address - Street 1:600 E CHARLES DR
Practice Address - Street 2:STE 307
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85636-1792
Practice Address - Country:US
Practice Address - Phone:520-459-0531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist