Most Relevant Information
Provider Data
| NPI Number: | 1003273335 |
| Provider Name: | DANIELLE DECKER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2513 |
Most Important Dates
| Enumeration Date: | 01/17/2016 |
| Last Updated: | 01/17/2016 |
Provider Practice Location
825 E 3RD ST
GROVE
OK
743447973
Practice Location Phone/Fax
| Phone: | 9189647025 |
| Fax: | 9189647024 |
Provider Mailing Location
26315 S 545 RD
AFTON
OK
743316497
Provider Mailing Phone/Fax
| Phone: | 9189647025 |
| Fax: | 9189647024 |