Healthcare Provider Details

I. General information

NPI: 1255624771
Provider Name (Legal Business Name): BROOKE LOWELL SMITH M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 S DOUGLAS BLVD STE F
MIDWEST CITY OK
73130-5265
US

IV. Provider business mailing address

1117 S DOUGLAS BLVD STE F
MIDWEST CITY OK
73130-5265
US

V. Phone/Fax

Practice location:
  • Phone: 405-259-9478
  • Fax: 405-259-8332
Mailing address:
  • Phone: 405-259-9478
  • Fax: 405-259-8332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: