Provider Demographics
NPI:1538981170
Name:THE AUDITORY PROCESSING CLINIC
Entity type:Organization
Organization Name:THE AUDITORY PROCESSING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF RESEARCH AND DEVELOPMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, PHD
Authorized Official - Phone:409-489-3661
Mailing Address - Street 1:6608 N WESTERN AVE # 1570
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7326
Mailing Address - Country:US
Mailing Address - Phone:409-489-3661
Mailing Address - Fax:
Practice Address - Street 1:1141 W SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-7848
Practice Address - Country:US
Practice Address - Phone:409-489-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty