Most Relevant Information
Provider Data
| NPI Number: | 1003247222 |
| Provider Name: | MARIBETH LANG M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12078159 |
Most Important Dates
| Enumeration Date: | 12/13/2013 |
| Last Updated: | 12/13/2013 |
Provider Practice Location
110 N BROADWAY
INOLA
OK
740369419
Practice Location Phone/Fax
| Phone: | 9185431000 |
| Fax: |
Provider Mailing Location
110 N BROADWAY
INOLA
OK
740369419
Provider Mailing Phone/Fax
| Phone: | 9185431000 |
| Fax: |