IndividualActive
Amanda Davies, M.ED. CCC
NPI 1710209945 · Speech-Language Pathologist · Broken Arrow, OK
Provider details
- NPI number
- 1710209945
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.ED. CCC
- Sex
- Female
- Sole proprietor
- No
- License
- 2979 (OK)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2221 W Detroit St
Broken Arrow, OK 74012-3628
Phone: (918) 615-6492
Fax: (918) 615-6493
Approximate (ZIP-level) locationGet directions
Mailing address
1724 S Harvard Ave
Tulsa, OK 74112-6826
Registry dates
- Enumerated
- 2010-02-15
- Last updated
- 2014-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.