Provider Demographics
NPI:1891574471
Name:COMPREHENSIVE SPEECH LANGUAGE PATHOLOGY SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE SPEECH LANGUAGE PATHOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:918-316-0746
Mailing Address - Street 1:9810 E 42ND ST STE 213
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-3600
Mailing Address - Country:US
Mailing Address - Phone:918-316-0746
Mailing Address - Fax:918-291-1181
Practice Address - Street 1:9810 E 42ND ST STE 213
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3600
Practice Address - Country:US
Practice Address - Phone:918-316-0746
Practice Address - Fax:918-291-1181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty