Provider Demographics
NPI:1669786935
Name:MCLAUGHLIN, JESSICA KATE (OTR)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:KATE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-4423
Mailing Address - Country:US
Mailing Address - Phone:405-664-2543
Mailing Address - Fax:
Practice Address - Street 1:1721 N PARK AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-4423
Practice Address - Country:US
Practice Address - Phone:405-664-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT1664235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist