DEIRDRE COLLEEN FUDGE (NPI# 1164066585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066585 |
| Entity Type | Individual |
| Full Name | DEIRDRE COLLEEN FUDGE |
| Credential | M.ED. CCC-SLP |
| Practice Address |
3341 Nw 19th St Oklahoma City OK 73107-3827 |
| Practice Telephone | 4053147408 |
| Mailing Telephone | 4053147408 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2681 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
3341 NW 19TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735970 | Grace Marie Prieto | Speech-Language Pathologist | 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 | 2020-09-17 |
| 1972118297 | Tammy Sanders | Speech-Language Pathologist | 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 | 2020-09-14 |
| 1346854932 | Angela Lea Smith | Speech-Language Pathologist | 2222 Sw 44th St, Oklahoma City, OK 73119-3526 | 2020-09-01 |
| 1174133078 | Ashley Mcleod | Speech-Language Pathologist | 2211 S Midwest Blvd, Oklahoma City, OK 73110-5448 | 2020-08-05 |
| 1114559614 | Lulupi Planning | Speech-Language Pathologist | 4416 N Western Ave Ste 204, Oklahoma City, OK 73118-5256 | 2020-02-12 |
| 1700422599 | Katie Knapik | Speech-Language Pathologist | 2216 Persimmon Dr, Oklahoma City, OK 73120-2086 | 2019-11-27 |
| 1467096768 | Anne Michelle Powell Shafer | Speech-Language Pathologist | 12101 N Macarthur Blvd Ste 429, Oklahoma City, OK 73162-1800 | 2019-10-30 |
| 1346881190 | Adrian Trialon Whiting | Speech-Language Pathologist | 8801 S Olie Ave Ste 5, Oklahoma City, OK 73139-9362 | 2019-10-02 |
| 1790337566 | Lauren Miller | Speech-Language Pathologist | 14000 Bermuda Cir, Oklahoma City, OK 73170-5737 | 2019-07-11 |
| 1477105385 | Ginger Robison | Speech-Language Pathologist | 13201 Willowcrest Ln, Oklahoma City, OK 73170-1149 | 2019-07-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on DEIRDRE COLLEEN FUDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.