Opal Speech Clinic Pllc is a
Speech-language Pathologist based in Alva, Oklahoma. Opal Speech Clinic Pllc is licensed to practice in Oklahoma (license number 2325) and their current practice location is
921 Oklahoma Blvd, Alva, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(580) 220-7461.
NPI number for Opal Speech Clinic Pllc is 1619417193 and their current mailing address is 921 Oklahoma Blvd Ste A, Alva, Oklahoma. Opal Speech Clinic Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619417193.
Healthcare Provider's Profile
| Full Name | Opal Speech Clinic Pllc |
|---|
| Type | Facility |
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| Speciality | Speech-language Pathologist |
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| Location | 921 Oklahoma Blvd, Alva, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619417193
- Provider Enumeration Date: 03/02/2017
- Last Update Date: 03/02/2017
Medical Identifiers
Medical identifiers for Opal Speech Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619417193 | NPI | - | NPPES |
| 01111392 | Other | OK | ASHA LICENSE |
| 100677360D | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 2325 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Opal Speech Clinic Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Opal Speech Clinic Pllc
921 Oklahoma Blvd Ste A,
Alva, OK 73717-2631
Ph: (580) 220-7461 | Opal Speech Clinic Pllc
921 Oklahoma Blvd,
Alva, OK 73717-2631
Ph: (580) 220-7461 |
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