Individual provider · Type 1 NPI

Mitzi Davis Booth, MS, CCC-SLP

Speech-Language Pathologist · Broken Arrow, OK

NPI number 1750469722 Active

Practice location

2208 W Detroit St Ste 202
Broken Arrow, OK 74012-3642

Call (918) 806-0106 Map

Fax (918) 806-0113

Mailing address

15845 E 77th St N
Owasso, OK 74055-7092

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X3142 (OK)

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 1750469722

Mitzi Davis Booth, MS, CCC-SLP's National Provider Identifier is 1750469722, issued on Nov 1, 2006. 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 May 19, 2010.