Provider Demographics
NPI:1578653564
Name:EFFECTIVE COMMUNICATION LLC
Entity Type:Organization
Organization Name:EFFECTIVE COMMUNICATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, CCC-SLP
Authorized Official - Phone:405-206-2077
Mailing Address - Street 1:10020 MAHLER PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-3312
Mailing Address - Country:US
Mailing Address - Phone:405-206-2077
Mailing Address - Fax:405-607-0452
Practice Address - Street 1:10020 MAHLER PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3312
Practice Address - Country:US
Practice Address - Phone:405-206-2077
Practice Address - Fax:405-607-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty