Most Relevant Information
Provider Data
| NPI Number: | 1003694159 |
| Provider Name: | HEIDI M COUCH SLPA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | SLPA304 |
Most Important Dates
| Enumeration Date: | 09/19/2023 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
8007 NW 122ND ST
OKLAHOMA CITY
OK
731423302
Practice Location Phone/Fax
| Phone: | 4056026622 |
| Fax: |
Provider Mailing Location
1405 SMILING HILL BLVD
EDMOND
OK
730136405
Provider Mailing Phone/Fax
| Phone: | 4056406408 |
| Fax: |