Healthcare Provider Details

I. General information

NPI: 1871079087
Provider Name (Legal Business Name): ASHLEE MCGEISEY M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 11/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2429 WESTPORT DR
NORMAN OK
73069-6337
US

IV. Provider business mailing address

2429 WESTPORT DR
NORMAN OK
73069-6337
US

V. Phone/Fax

Practice location:
  • Phone: 405-314-9345
  • Fax:
Mailing address:
  • Phone: 405-314-9345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4319
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: