Provider Demographics
NPI:1588997456
Name:SPEECH THERAPY PROFESSIONALS
Entity type:Organization
Organization Name:SPEECH THERAPY PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCCSLP
Authorized Official - Phone:405-285-6765
Mailing Address - Street 1:301 SOUTH BLVD
Mailing Address - Street 2:#126
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7940
Mailing Address - Country:US
Mailing Address - Phone:405-285-6765
Mailing Address - Fax:405-285-5403
Practice Address - Street 1:301 S BOULEVARD ST
Practice Address - Street 2:126
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3878
Practice Address - Country:US
Practice Address - Phone:405-285-6765
Practice Address - Fax:405-285-5403
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARLA GALBRAITH ASSOC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK670235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty