Provider Demographics
NPI:1023533262
Name:STROUPE, FARRIS REE (AUD)
Entity type:Individual
Prefix:MRS
First Name:FARRIS
Middle Name:REE
Last Name:STROUPE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:FARRIS
Other - Middle Name:REE
Other - Last Name:CHAPPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:PO BOX 960472
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73196-0472
Mailing Address - Country:US
Mailing Address - Phone:405-755-6651
Mailing Address - Fax:
Practice Address - Street 1:4140 W. MEMORIAL RD SUITE 116
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-755-1930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5106231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist