DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHAEL WARD HUMPHRIES M.S., CCC-SLP, BCBA

MEDICARE:   MICHAEL WARD HUMPHRIES  M.S., CCC-SLP, BCBA
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 Pathologist4961OK
2103K00000XBehavior Analyst1-23-67302OK

General Provider Information

NPI Number : 1639669534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WARD HUMPHRIES M.S., CCC-SLP, BCBA
Provider Business Mailing Address
First Line : 3812 WEDGEWOOD CREEK DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-1282
Country : US
Telephone Number : 405-213-5113
Fax Number :
Provider Business Practice Location Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-464-8484
Fax Number : 405-883-3061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 08/22/2024

Similar Medicare Providers

1689374761 — LAURA BETH LINFORD OTR/L
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-464-8484
Practice Fax:
1689794653 — DR. KATHRYN ANNETTE WINICK M.D.
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-512-6950
Practice Fax:
1578772414 — BARBARA LYNN MOREIRA PT, DPT
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-732-3946
Practice Fax:
1003087578 — MS. SHANUN MICAELA GIBSON M.S.,CCC/SLP
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-732-3946
Practice Fax: 405-261-6311
1104155985 — PRIMACARE LP
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-512-6950
Practice Fax: 405-512-6960
1831603745 — RSG, PLLC
Practice Location Address:
9031 SW 29TH ST
OKLAHOMA CITY, OK
73179-2818
Practice Phone: 405-732-3946
Practice Fax:

Directions to “ MICHAEL WARD HUMPHRIES M.S., CCC-SLP, BCBA” 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.