Judy, Monica Dawn

Judy, Monica Dawn is an individual health care provider with primary practice located at 2208 W Detroit St Ste 101 , Broken Arrow OK 74012-3630. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Judy, Monica Dawn can be contacted via phone (918) 806-0106.

Contact Information

Primary practice address
2208 W Detroit St Ste 101 Broken Arrow OK 74012-3630
Phone: (918) 806-0106
Fax: (918) 806-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3116 Oklahoma

Profile Details

NPI number 1508057498
LBN Legal business name Judy, Monica Dawn
Credentials M.S CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jan 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508057498 NPPES
Oklahoma MEDICAID 200049340A

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