Whalio Doctors

NPI 1275724635

Stacy Michele Puckett, MSCCCSLP

Practitioner Speech-Language Pathologist Inola, OK

Practice location

Address
7787 S 425 Rd, Inola, OK 74036-5364
Phone
(918) 691-8157

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4327 (OK)

Registry record

NPI
1275724635
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Aug 2007
Record last updated
12 Jun 2019

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.