Organization · Type 2 NPI

Functional Foundations Speech Therapy PLLC

Speech-Language Pathologist · Broken Arrow, OK

NPI number 1730764374 Active

Practice location

2312 W Pittsburg St
Broken Arrow, OK 74012-4731

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1730764374

Functional Foundations Speech Therapy PLLC's National Provider Identifier is 1730764374, issued on Mar 16, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 29, 2026.