MEDICARE: BILINGUAL COMMUNICATION POTENTIAL LLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1336383355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILINGUAL COMMUNICATION POTENTIAL LLC

Provider Business Mailing Address
First Line	:	3516 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5630
Country	:	US
Telephone Number	:	405-596-9987
Fax Number	:	405-917-5595

Provider Business Practice Location Address
First Line	:	3516 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5630
Country	:	US
Telephone Number	:	405-596-9987
Fax Number	:	405-917-5595

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. MARIANA NAVAS BRYANT
Credential	:	M.S.,CCC-SLP
Telephone Number	:	405-596-9987

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	01/16/2013

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Language	Start Address	Practice Location

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