MRS. MITZI DAVIS BOOTH MS, CCC-SLP
NPI 1750469722
Speech-Language Pathologist in Broken Arrow, OK

Q: What is Mitzi Booth's NPI number?

The NPI number for Mitzi Booth is 1750469722. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mitzi Booth's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitzi Booth was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006

2208 W DETROIT ST STE 202, BROKEN ARROW, OK 74012(918) 806-0106(918) 806-0113 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mitzi Davis Booth Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MITZI DAVIS BOOTH MS, CCC-SLP (NPI 1750469722) is an individual speech-language pathologist provider in Broken Arrow, Oklahoma, licensed in Oklahoma (3142) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750469722

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MITZI DAVIS BOOTHCredential: MS, CCC-SLP

Location Address2208 W DETROIT ST STE 202Broken Arrow, OK 74012-3642

Mailing Address15845 E 77th St NOwasso, OK 74055-7092 · (918) 272-5209

Phone(918) 806-0106

Fax(918) 806-0113

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateMay 19, 2010

✔ NPI 1750469722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in OK · 3142

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2208 W DETROIT ST STE 202, Broken Arrow, OK 74012

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Other Identifiers 1

MedicaidY200061310AOK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitzi Booth's NPI number?

The NPI number for Mitzi Booth is 1750469722. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Mitzi Booth located?

Mitzi Booth practices at 2208 W Detroit St Ste 202, Broken Arrow, OK 74012. The listed phone number is (918) 806-0106.

What is Mitzi Booth's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mitzi Booth was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.