IndividualActive
Desirae Evans
NPI 1134934979 · Speech-Language Assistant · Okmulgee, OK
Provider details
- NPI number
- 1134934979
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 395 (OK)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
123 E 6th St
Okmulgee, OK 74447-4603
Phone: (918) 938-0887
Approximate (ZIP-level) locationGet directions
Mailing address
775 Choctaw Dr
Eufaula, OK 74432-5837
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.