Healthcare Provider Details
I. General information
NPI: 1750673844
Provider Name (Legal Business Name): SARAH PRICE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/06/2011
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3824 S BOULEVARD SUITE 160
EDMOND OK
73013
US
IV. Provider business mailing address
PO BOX 960472
OKLAHOMA CITY OK
73196-0472
US
V. Phone/Fax
- Phone: 405-562-1810
- Fax: 405-562-1816
- Phone: 405-755-6651
- Fax: 405-607-3559
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 3746 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 3746 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: