NPI Profile for MADISON COPELAND in JENKS, OK.
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist |
225500000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1255118568 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/11/2023 | |
| Last updated | 03/12/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MADISON COPELAND
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