Provider Demographics
NPI:1558846030
Name:NORRIS, CAMERON (SLP)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29014 S 4190 RD
Mailing Address - Street 2:
Mailing Address - City:INOLA
Mailing Address - State:OK
Mailing Address - Zip Code:74036-5010
Mailing Address - Country:US
Mailing Address - Phone:918-629-2988
Mailing Address - Fax:
Practice Address - Street 1:301 E OMAHA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1740
Practice Address - Country:US
Practice Address - Phone:918-259-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist