Provider Demographics
NPI:1922142686
Name:STRECKER, NAKIEA MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:NAKIEA
Middle Name:MARIE
Last Name:STRECKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DOGWOOD
Mailing Address - Street 2:
Mailing Address - City:KIEFER
Mailing Address - State:OK
Mailing Address - Zip Code:74041-3004
Mailing Address - Country:US
Mailing Address - Phone:918-321-6156
Mailing Address - Fax:918-321-6174
Practice Address - Street 1:1560 E 21ST ST
Practice Address - Street 2:SUITE 210
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1351
Practice Address - Country:US
Practice Address - Phone:918-949-9187
Practice Address - Fax:918-949-9217
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK307231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200013640AMedicaid
OK200013640AMedicaid