Wyatt Speech Therapy Services, Pllc | |
407 S Muskogee Ave, Tahlequah, OK 74464-4427 | |
(918) 931-3171 | |
(877) 540-0882 |
Full Name | Wyatt Speech Therapy Services, Pllc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 407 S Muskogee Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982374013 | NPI | - | NPPES |
1770854879 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Sasha Wyatt |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770854879 PECOS PAC ID: 6002271830 Enrollment ID: I20230502000060 |
Mailing Address | Practice Location Address |
---|---|
Wyatt Speech Therapy Services, Pllc 26399 S 515 Rd, Park Hill, OK 74451 Ph: (918) 207-9073 | Wyatt Speech Therapy Services, Pllc 407 S Muskogee Ave, Tahlequah, OK 74464-4427 Ph: (918) 931-3171 |
Aaron Biggs, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 W 4th St, Tahlequah, OK 74464 Phone: 918-728-0475 | |
Mrs. Emily Freise, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 E Ross St, Tahlequah, OK 74464 Phone: 918-458-4120 Fax: 918-458-4122 | |
Jessica Keys, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-458-1883 Fax: 918-458-6331 | |
Ms. Jessica Renee Roady, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-457-8036 | |
Mrs. Caley Rose Janzen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1607 S Muskogee Ave Ste B, Tahlequah, OK 74464 Phone: 918-458-1883 Fax: 918-458-6331 | |
Sandra Kay Becker, SPEECH-LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 117 Carol St, Tahlequah, OK 74464 Phone: 918-456-0850 | |
Ms. Mary Blenkarn Purdy, M.A.,CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-458-0639 |