MEDICARE: JANNA DODSON M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3314	OK

General Provider Information

NPI Number	:	1598054850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANNA DODSON M.S.

Provider Business Mailing Address
First Line	:	7816 SUNNY POINTE LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-4522
Country	:	US
Telephone Number	:	405-819-0997
Fax Number	:

Provider Business Practice Location Address
First Line	:	7816 SUNNY POINTE LN
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-4522
Country	:	US
Telephone Number	:	405-819-0997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	04/13/2017

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Directions to “ JANNA DODSON M.S.” Practice Location

Language	Start Address	Practice Location

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