Provider Demographics
NPI:1164639787
Name:SCHICHT, MICHELE DUNN (MS)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DUNN
Last Name:SCHICHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 N TULSA DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-1327
Mailing Address - Country:US
Mailing Address - Phone:405-947-0540
Mailing Address - Fax:
Practice Address - Street 1:3009 N TULSA DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-1327
Practice Address - Country:US
Practice Address - Phone:405-947-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK73235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist