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Contact Information

TRICIA WILLYARD, M.ED. CCC-SLP
404 NORTH BOSTON
KETCHUM, OK74349
 Phone: 918-782-5091
 Fax: 918-782-9018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TRICIA WILLYARD · (Female)

NPI Number 1225421456
Status Active
Credentials M.ED. CCC-SLP
Entity Individual
Enumeration date 03/12/2015
Last updated 03/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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