Provider Demographics
NPI:1104343979
Name:SPURRIER, TAMMY LEA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LEA
Last Name:SPURRIER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:LEA
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:307 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:OK
Mailing Address - Zip Code:74445-4815
Mailing Address - Country:US
Mailing Address - Phone:918-733-4219
Mailing Address - Fax:918-733-9215
Practice Address - Street 1:307 S 6TH ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:OK
Practice Address - Zip Code:74445-4815
Practice Address - Country:US
Practice Address - Phone:918-733-4219
Practice Address - Fax:918-733-9215
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2853235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100681240AMedicaid