Provider Demographics
NPI:1285908145
Name:URRIAGO-HAIGOOD, BLANCA ADRIANA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:ADRIANA
Last Name:URRIAGO-HAIGOOD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 SHADY LANE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:832-306-7873
Mailing Address - Fax:
Practice Address - Street 1:937 SW 89TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139
Practice Address - Country:US
Practice Address - Phone:405-601-3660
Practice Address - Fax:405-602-0918
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4659235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist