CANADIAN VALLEY SPEECH SERVICES (NPI# 1891118063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891118063 |
| Entity Type | Organization |
| Organization Name | CANADIAN VALLEY SPEECH SERVICES |
| Other Organization Name | DIANN BURRIS' CANADIAN VALLEY SPEECH SERVICES |
| Practice Address |
1100 N Mustang Rd Mustang OK 73064-7201 |
| Mailing Address |
12016 Sw 56th St Mustang OK 73064-7223 |
| Practice Telephone | 4058304023 |
| Practice Fax Number | 4053245536 |
| Mailing Telephone | 4058304023 |
| Mailing Fax Number | 4053245536 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | DIANN MICHELE BURRIS (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 4058304023 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2837 | OK | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Diann Burris' Canadian Valley Speech Services | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CANADIAN VALLEY SPEECH SERVICES, PLLC | 12016 Sw 56th St, Mustang, OK 73064 |
| Street Address |
1100 N MUSTANG RD |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000114 | Steven Mark Vincent | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7200 | 2005-08-16 |
| 1194377168 | Partin Eyecare PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2019-07-10 |
| 1962865949 | Easy Dental Solutions Iv | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2016-03-29 |
| 1538582705 | Diann Burris | Speech-Language Pathologist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2014-01-23 |
| 1528408085 | Action Chiropractic Pllc | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2013-06-28 |
| 1780960773 | Jamey Rochelle Little | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2011-10-23 |
| 1053604876 | Fhm Homecare | Home Health | 1100 N Mustang Rd, Suite F, Mustang, OK 73064-7201 | 2011-05-26 |
| 1255561791 | Leisha V. Everett,dds,pc | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2009-07-17 |
| 1053598391 | Glenn E. Partin Od PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2008-01-29 |
| 1912989377 | Roger Goel Potts | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7200 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| 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 |
|---|---|---|---|---|
| 1265719751 | Rhonda Simpson | Speech-Language Pathologist | 1359 E Angel Fire Ter, Mustang, OK 73064-9450 | 2011-11-10 |
| 1881827632 | Marcy L Staton | Speech-Language Pathologist | 1100 E Whispering Oaks Ter, Mustang, OK 73064-4870 | 2009-08-27 |
| 1083707400 | Susan Louise Gray | Speech-Language Pathologist | 12109 Sw 56th St, Mustang, OK 73064-7264 | 2006-09-30 |
| 1538582705 | Diann Burris | Speech-Language Pathologist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1649878679 | Paula Mitchell Therapy, LLC | Speech-Language Pathologist | 3930 Indian Point Cir, Norman, OK 73026-8634 | 2020-10-12 |
| 1457958175 | Shaye Lynn Kirkpatrick | Speech-Language Pathologist | 11912 S Nandina St, Jenks, OK 74037-4375 | 2020-10-06 |
| 1427655158 | Erin Katherine Durbin | Speech-Language Pathologist | 3628 S Blackberry Ln, Atoka, OK 74525-5447 | 2020-10-06 |
| 1649887134 | Julianna Whiteley Dittus | Speech-Language Pathologist | 1639 S Florence Pl, Tulsa, OK 74104-5214 | 2020-09-28 |
| 1386250769 | Jessica Nicole Jacobs | Speech-Language Pathologist | 315 E Peak Blvd, Muskogee, OK 74403-8515 | 2020-09-21 |
| 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 |
| 1093329765 | Emma E Laborn | Speech-Language Pathologist | 14002 E 21st St # 650, Tulsa, OK 74134-1425 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CANADIAN VALLEY SPEECH SERVICES.
| 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.