| Nicole Celeste Fogtman, MS, CCC-SLP | |
|
2615 E Randolph Ave, Enid, OK 73701-4670 | |
| (412) 420-7164 | |
| (580) 234-2615 |
| Full Name | Nicole Celeste Fogtman |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2615 E Randolph Ave, Enid, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124560933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6075 (Tennessee) | Secondary |
| 235Z00000X | Speech-language Pathologist | 5495 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Celeste Fogtman, MS, CCC-SLP 2615 E Randolph Ave, Enid, OK 73701-4670 Ph: (412) 420-7164 | Nicole Celeste Fogtman, MS, CCC-SLP 2615 E Randolph Ave, Enid, OK 73701-4670 Ph: (412) 420-7164 |
Emily E Buller, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Sarah White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Enid, OK 73701 Phone: 580-233-6100 | |
Paula J Weaver, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-3554 | |
Lori Ann Tydings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2102 Beverly Dr, Enid, OK 73703 Phone: 580-366-7650 | |
Jessica L Lathem, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Randolph Ave, Enid, OK 73701 Phone: 580-234-3734 Fax: 580-234-2615 | |
Alissa Anne Braziel, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 S 5th St, Rehabcare At St. Mary's Regional Medical Ctr, Enid, OK 73701 Phone: 580-548-5075 |