Provider Demographics
NPI:1346551397
Name:BEATTY-WHEELER, BRANDI SUZANNE (MS,)
Entity type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:SUZANNE
Last Name:BEATTY-WHEELER
Suffix:
Gender:F
Credentials:MS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7100
Mailing Address - Country:US
Mailing Address - Phone:405-840-1335
Mailing Address - Fax:405-840-1336
Practice Address - Street 1:7201 N CLASSEN BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7100
Practice Address - Country:US
Practice Address - Phone:405-840-1335
Practice Address - Fax:405-840-1336
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist