MRS. WANDA ANN TEAGUE (NPI# 1982794442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982794442 |
| Entity Type | Individual |
| Full Name | MRS. WANDA ANN TEAGUE |
| Credential | M.S., ED., CCC-SLP |
| Practice Address |
500 South Ross Ave. Fort Gibson OK 74434 |
| Mailing Address |
500 South Ave Fort Gibson OK 74434 |
| Practice Telephone | 9183482181 |
| Mailing Telephone | 9183482181 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2584 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
500 SOUTH ROSS AVE. |
| City | FORT GIBSON |
| State | OK |
| Zip Code | 74434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326323296 | Janet Hulbert | Occupational Therapist | 1409 Saddlebrooke Dr, Fort Gibson, OK 74434 | 2011-10-11 |
| 1356643936 | Justin Matthew Wedman | Pharmacist | 114 N. Lee St., Fort Gibson, OK 74434 | 2010-12-02 |
| 1396980546 | Walker & Walker P.l.l.c. | Dentist | 106 Lone Oak Cr, Ft. Gibson, OK 74434 | 2008-12-02 |
| 1548305857 | Christopher Back | Family Medicine | 129 N Lee St., Fort Gibson, OK 74434 | 2007-02-21 |
| 1891898912 | Scotts Pharmacy LLC | Pharmacy | 1201 S Lee St, Fort Gibson, OK 74434 | 2006-09-06 |
| 1831206671 | Charles Robert Mutch | Family Medicine | 104 Lone Oak Circle, Ft. Gibson, OK 74434 | 2006-08-25 |
| 1073511184 | Brandon Medical, LLC | Prosthetic/Orthotic Supplier | 110 North Lee Street, Fort Gibson, OK 74434 | 2005-07-12 |
| 1265761381 | Holly Jean Dawson | Obstetrics & Gynecology | 108 Lone Oak Cir, Fort Gibson, OK 74434 | 2009-12-19 |
| 1790892529 | Donald M Elgin | Family Medicine | 104 Lone Oak Circle, Ft. Gibson, OK 74434 | 2006-08-25 |
| 1942352919 | Frank J Evans | Dentist | 802 S Lee, Fort Gibson, OK 74434-0206 | 2007-01-18 |
| Find all providers in zip 74434 | ||||
| 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 |
|---|---|---|---|---|
| 1437682580 | Jeana Jones | Speech-Language Pathologist | 523 E South Ave, Fort Gibson, OK 74434-8431 | 2017-04-05 |
| 1386199073 | Terri Fields | Speech-Language Pathologist | 2053 N County Line Rd E, Fort Gibson, OK 74434-6223 | 2016-08-23 |
| 1477894749 | Angela M Hunter | Speech-Language Pathologist | 24862 S 366 Rd, Fort Gibson, OK 74434-8383 | 2013-03-11 |
| 1194900886 | Ruby Austin | Speech-Language Pathologist | 500 Ross Ave, Fort Gibson, OK 74434-8422 | 2008-01-01 |
| 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 | ||||
| City | FORT GIBSON |
| Zip Code | 74434 |
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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.