Provider Demographics
NPI:1649087453
Name:ANGEL, NATALIE M (CF-SLP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:ANGEL
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 E 96TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-3925
Mailing Address - Country:US
Mailing Address - Phone:918-299-0533
Mailing Address - Fax:
Practice Address - Street 1:12400 S HIWASSEE RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73165-7681
Practice Address - Country:US
Practice Address - Phone:405-862-6065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCF628235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist