Provider Demographics
NPI:1992507958
Name:ME SPEECH AND LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:ME SPEECH AND LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICKAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLARD
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:918-261-6309
Mailing Address - Street 1:9901 NW 143RD ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-1335
Mailing Address - Country:US
Mailing Address - Phone:918-261-6309
Mailing Address - Fax:
Practice Address - Street 1:9901 NW 143RD ST
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-1335
Practice Address - Country:US
Practice Address - Phone:918-261-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech