Provider Demographics
NPI:1851831150
Name:PLUM, HOPE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:PLUM
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 N SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942-2511
Mailing Address - Country:US
Mailing Address - Phone:918-625-6202
Mailing Address - Fax:405-551-8460
Practice Address - Street 1:2107 N SUNSET LN
Practice Address - Street 2:
Practice Address - City:GUYMON
Practice Address - State:OK
Practice Address - Zip Code:73942-2511
Practice Address - Country:US
Practice Address - Phone:918-625-6202
Practice Address - Fax:405-551-8460
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist