Mrs Kristina Alycia Freeborn, MA CCC-SLP | |
310 W Washington St Ste D, Purcell, OK 73080-4230 | |
(405) 609-4618 | |
(405) 310-0679 |
Full Name | Mrs Kristina Alycia Freeborn |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 14 Years |
Location | 310 W Washington St Ste D, Purcell, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871915462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4171 (Oklahoma) | Primary |
235Z00000X | Speech-language Pathologist | 19013 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeborn Dysphagia Associates Llc | 2769806306 | 2 |
Provider Name | Freeborn Dysphagia Associates Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043854706 PECOS PAC ID: 2769806306 Enrollment ID: O20200715003515 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristina Alycia Freeborn, MA CCC-SLP 310 W Washington St Ste D, Purcell, OK 73080-4230 Ph: (405) 609-4618 | Mrs Kristina Alycia Freeborn, MA CCC-SLP 310 W Washington St Ste D, Purcell, OK 73080-4230 Ph: (405) 609-4618 |
Ms. Megan Wackler, M.S. C.C.C. - S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 316 W Washington Street, Suite D, Purcell, OK 73080 Phone: 405-609-4618 | |
Autum Looney, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Washington St Ste D, Purcell, OK 73080 Phone: 405-609-4618 Fax: 405-310-0679 | |
Amanda Lee-wray Turner, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 W Washington St Ste D, Purcell, OK 73080 Phone: 140-560-9461 Fax: 405-310-0679 |