Healthcare Provider Details

I. General information

NPI: 1164354957
Provider Name (Legal Business Name): JAMIE SAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 N WALNUT ST
PAULS VALLEY OK
73075-3243
US

IV. Provider business mailing address

705 26TH AVE NW
NORMAN OK
73069-6367
US

V. Phone/Fax

Practice location:
  • Phone: 405-308-9120
  • Fax: 405-705-5353
Mailing address:
  • Phone: 405-708-9120
  • Fax: 405-705-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCF913
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: