Whalio Doctors

NPI 1013314863

Megan Jean Gardner, MSCCCSLP

Practitioner Speech-Language Pathologist Broken Arrow, OK

Practice location

Address
2221 W Detroit St, Broken Arrow, OK 74012-3628
Phone
(918) 615-6492
Fax
(918) 615-6493

Registered specialties (2)

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4272 (OK)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 12153145

Registry record

NPI
1013314863
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Nov 2014
Record last updated
21 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.