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NPI Code Detail

MEDICARE: CLAIRE RENEE CRISMON

MEDICARE: CLAIRE RENEE CRISMON
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 PathologistCF907OK

General Provider Information

NPI Number : 1528999091
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE RENEE CRISMON
Provider Business Mailing Address
First Line : 501 S COLTRANE RD STE A
Second Line :
City : EDMOND
State : OK
Zip : 73034-6729
Country : US
Telephone Number : 580-318-9415
Fax Number : 405-999-4998
Provider Business Practice Location Address
First Line : 501 S COLTRANE RD STE A
Second Line :
City : EDMOND
State : OK
Zip : 73034-6729
Country : US
Telephone Number : 580-318-9415
Fax Number : 405-999-4998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 06/04/2026

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Directions to “ CLAIRE RENEE CRISMON ” Practice Location

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