NPI 1043766645

Samantha Lane, SLP

Practitioner Speech-Language Pathologist Grove, OK

Practice location

Address: 1046 Hillside Road, Grove, OK 74344
Phone: (918) 801-8681
Mailing address: 1046 Hillside Rd, Grove, OK 74344-3514

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 3144 (OK)

Other Speech-Language Pathologist providers in Oklahoma →

Registry record

NPI: 1043766645
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2016
Record last updated: 1 Sep 2016

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.