Functionality Therapy Services PLLC

Speech-Language Pathologist · Ardmore, OK

Organization Active NPI

NPI number 1760919310

Practice location

10 W Main St Ste 218a
Ardmore, OK 73401-6515
Phone
(580) 220-7786

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NPI record

NPI
1760919310
Entity type
Organization (Type 2)
Enumeration date
May 15, 2017
Last updated
May 15, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 3713 OK
Behavior Analyst 103K00000X 1-17-25192 OK

Mailing address

1000 Rockford Ct
Ardmore, OK 73401-3408
Phone
(580) 220-7786

Authorized official

Name
Mrs. Stacey R Ogden, M.A. CCC-SLP
Title
Owner
Phone
(580) 220-7786

About Functionality Therapy Services PLLC

Functionality Therapy Services PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 10 W Main St Ste 218a, Ardmore, OK 73401-6515. The NPI number 1760919310 was assigned on May 15, 2017 and the record was last updated on May 15, 2017.

Functionality Therapy Services PLLC lists 2 licenses in the registry: #3713 (OK) for Speech-Language Pathologist; #1-17-25192 (OK) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Stacey R Ogden, M.A. CCC-SLP, Owner.

Frequently asked questions

What is the NPI number of Functionality Therapy Services PLLC?

The NPI number is 1760919310.

What is the phone number of Functionality Therapy Services PLLC?

The phone number listed for the practice location is (580) 220-7786.

Where is Functionality Therapy Services PLLC located?

10 W Main St Ste 218a, Ardmore, OK 73401-6515.

What is the taxonomy code for Functionality Therapy Services PLLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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