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NPI Code Detail

MEDICARE: MIKAELA DOYLE

MEDICARE: MIKAELA DOYLE
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
1235Z00000XSpeech-Language Pathologist5984OK
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1295472769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAELA DOYLE
Provider Business Mailing Address
First Line : 1413 NW 17TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-4284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73131-1240
Country : US
Telephone Number : 405-875-0040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2022
Last Update Date : 09/27/2023

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Directions to “ MIKAELA DOYLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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