Provider Demographics
NPI:1992426266
Name:MORALES, KATELYN PERCELL (MS)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:PERCELL
Last Name:MORALES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:KATELYN
Other - Middle Name:PERCELL
Other - Last Name:HAGGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2232 SW 59TH PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-1802
Mailing Address - Country:US
Mailing Address - Phone:405-808-1909
Mailing Address - Fax:
Practice Address - Street 1:3017 N STILES AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-2808
Practice Address - Country:US
Practice Address - Phone:405-271-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist