MRS. CONNIE SUE BLOSE (NPI# 1972685360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972685360 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE SUE BLOSE |
| Credential | MA/CCC-SLP |
| Practice Address |
903 Ne Pheasant Ln Lawton OK 73507-2328 |
| Practice Telephone | 5803559230 |
| Mailing Telephone | 5803559230 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 411 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
903 NE PHEASANT LN |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| 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 |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1568835023 | Shelley Anne Malone | Speech-Language Pathologist | 753nw Ft Sill Blvd, Lawton, OK 73502-1009 | 2015-11-05 |
| 1922475169 | Shicole Monique Edison | Speech-Language Pathologist | 1614 Nw 47th St, Lawton, OK 73505-3208 | 2015-08-24 |
| 1821465931 | Cynthia L Gable | Speech-Language Pathologist | 405 Nw Woodland Dr, Lawton, OK 73505-5432 | 2015-08-24 |
| 1902223902 | Kara Anderson | Speech-Language Pathologist | 1001 Sw A Ave, Lawton, OK 73501-3951 | 2014-03-27 |
| 1619287331 | Paul D. Henderson | Speech-Language Pathologist | 2501 Nw 80th St, Lawton, OK 73505-1158 | 2010-10-15 |
| 1902049208 | Greta Marie Worthington | Speech-Language Pathologist | 1507 W Gore Blvd, Lawton, OK 73501-3608 | 2009-04-16 |
| 1386809267 | Ophelia Taylor-walker | Speech-Language Pathologist | 4505 Se Avalon Ave, Lawton, OK 73501-8315 | 2008-07-21 |
| 1336272343 | Mary Frances Stoneman | Speech-Language Pathologist | 1301 Ne Quail Creek Cir, Lawton, OK 73507-2330 | 2007-03-13 |
| 1316072945 | Rachel Marie Bush | Speech-Language Pathologist | 1820 Sw 69th St, Lawton, OK 73505-9036 | 2007-02-22 |
| Find all providers in LAWTON | ||||
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| 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.