Provider Demographics
NPI:1740388065
Name:STROM AULGUR, KAYE EARLINE (PHD, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAYE
Middle Name:EARLINE
Last Name:STROM AULGUR
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 N. BUSHCREEK RD.
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075
Mailing Address - Country:US
Mailing Address - Phone:405-372-6633
Mailing Address - Fax:
Practice Address - Street 1:042 MURRAY
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74078-5062
Practice Address - Country:US
Practice Address - Phone:405-744-6021
Practice Address - Fax:405-744-8070
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist