Provider Demographics
NPI:1700862851
Name:FOOR, PATRICIA B (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:B
Last Name:FOOR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:FOOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4809 WELLMAN WAY
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3700
Mailing Address - Country:US
Mailing Address - Phone:405-447-3140
Mailing Address - Fax:405-447-6460
Practice Address - Street 1:4809 WELLMAN WAY
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3700
Practice Address - Country:US
Practice Address - Phone:405-447-3140
Practice Address - Fax:405-447-6460
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2389235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK00139667OtherHEALTHCHOICE