MEDICARE: MRS. KAREN BROOKE RATH M.S., CCC-SLP

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	2574	OK

General Provider Information

NPI Number	:	1801103940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN BROOKE RATH M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4637 E 59TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-4321
Country	:	US
Telephone Number	:	918-557-8784
Fax Number	:

Provider Business Practice Location Address
First Line	:	4637 E 59TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-4321
Country	:	US
Telephone Number	:	918-557-8784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2010
Last Update Date	:	09/10/2010

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Directions to “ MRS. KAREN BROOKE RATH M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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