Individual provider · Type 1 NPI

Michael Standifer Jr., BS

Speech-Language Assistant · Ponca City, OK

NPI number 1497472104 Active

Practice location

220 Village Cir
Ponca City, OK 74601-4021

Mailing address

3542 Springwood St Apt 614
Ponca City, OK 74604-1632

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X301 (OK)

Speech-Language Assistant: Definition to come...

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About NPI 1497472104

Michael Standifer Jr., BS's National Provider Identifier is 1497472104, issued on Oct 24, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Ponca City, OK. The record was last updated on Oct 24, 2022.