Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Divilbiss, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1831587591

Jordan Divilbiss, MA, CCC-SLP is a Speech-Language Pathologist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14715 Bristol Park Blvd
Edmond, OK 73013-1894
Phone: (405) 840-1686
Fax: (405) 840-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4323 (OK)

Record details

NPI number1831587591
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 5, 2015

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