Provider Demographics
NPI:1114117314
Name:JOBE, DUSTIE LYNN (SLP)
Entity type:Individual
Prefix:MRS
First Name:DUSTIE
Middle Name:LYNN
Last Name:JOBE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 N HITCHCOCK ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-1421
Mailing Address - Country:US
Mailing Address - Phone:580-789-0568
Mailing Address - Fax:
Practice Address - Street 1:709 N LOWE ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1642
Practice Address - Country:US
Practice Address - Phone:580-726-3381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist