JORDAN LIDDELL
Specialist/Technologist
Active
Individual
NPI: 1629734017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | No | 375 (OK) |
| Specialist/Technologist | 235500000X | Yes | 375 (OK) |
Frequently Asked Questions
NPI 1629734017 is the National Provider Identifier for JORDAN LIDDELL, a Specialist/Technologist provider located in Oklahoma City, OK. This NPI was enumerated on November 10, 2021.
JORDAN LIDDELL practices at 200 NW 66TH ST STE 925, Oklahoma City, OK 73116.
Quick Facts
- NPI
- 1629734017
- Type
- Individual
- Enumerated
- Nov 10, 2021
- Last Updated
- Sep 12, 2024
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