Provider Demographics
NPI:1568679173
Name:OROLOGIO, AMBER RENEE (MSCCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:RENEE
Last Name:OROLOGIO
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:RENEE
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10000 S ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7227
Mailing Address - Country:US
Mailing Address - Phone:405-681-5787
Mailing Address - Fax:405-681-5787
Practice Address - Street 1:5725 S ROSS AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73119-5650
Practice Address - Country:US
Practice Address - Phone:405-681-5787
Practice Address - Fax:405-681-5787
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2946235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist