DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TABETHA NICOLE MATHIESEN, MS CCC-SLP

Active

MRS. TABETHA NICOLE MATHIESEN, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in CRESCENT, Oklahoma. NPI 1093065682 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · CRESCENT, OK

Registration Details

NPI Number
1093065682
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2012 (13.91616025844 yrs)
Last Updated
Jul 11, 2013
License
3775 (OK)

Practice Information

Address
205 E CIMARRON BLVD
CRESCENT, OK, 730289296
Browse OK providers · Browse ZIP 73028
Phone
4057957110
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in CRESCENT, OK

Name Credential NPI
MRS. JOCELYN JANEA HUMPHREY M.S. CCC-SLP 1295178929
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.