Provider Demographics
NPI:1073306569
Name:OWEN, ALLISON KAYLA (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:KAYLA
Last Name:OWEN
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7738 N OWASSO EXPY
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-3338
Mailing Address - Country:US
Mailing Address - Phone:918-928-4255
Mailing Address - Fax:918-928-4258
Practice Address - Street 1:13330 S MEMORIAL DR STE 1AND2
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-3119
Practice Address - Country:US
Practice Address - Phone:918-943-5084
Practice Address - Fax:855-940-1855
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCF765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist