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SPECTRUM OF HOPE, LLC

Dietary & Nutritional Service Providers Dietitian, Registered Nutrition, Pediatric

Provider NPI: 1669983409

Organization Information:
Organization Name:  SPECTRUM OF HOPE, LLC
Organization is not Subpart
Authorized Official:  JESSICA MARIE DYER  CEO AND OWNER  918-510-3232

Practice Location:
4908 S SHERIDAN RD  TULSA, OK 74145-5712 US
Tel: 918-984-9153  Fax: --

Business Mailing Address:
4908 S SHERIDAN RD  TULSA, OK 74145-5712 US
Tel: 918-984-9153  Fax: --

NPI Information:
NPI: 1669983409
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133VN1004XDietary & Nutritional Service Providers
Dietitian, Registered
Nutrition, Pediatric
N172V00000XOther Service Providers
Community Health Worker
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N101YM0800XBehavioral Health & Social Service Providers
Counselor
N103K00000X
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N225XM0800X
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
200745940OK05



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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