Provider Demographics
NPI:1629765938
Name:LINGAPPA, ASHWINI (SLPA)
Entity Type:Individual
Prefix:
First Name:ASHWINI
Middle Name:
Last Name:LINGAPPA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 E SHAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-1443
Mailing Address - Country:US
Mailing Address - Phone:918-684-9999
Mailing Address - Fax:
Practice Address - Street 1:900 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:HASKELL
Practice Address - State:OK
Practice Address - Zip Code:74436-8609
Practice Address - Country:US
Practice Address - Phone:918-482-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6094235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist