Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Brackeen, MSCCCSLP/L

Individual provider Speech-Language Pathologist · NPI 1407388861

Mr. Michael Brackeen, MSCCCSLP/L is a Speech-Language Pathologist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

3017 N Stiles Ave Ste 200
Oklahoma City, OK 73105-2805
Phone: (405) 271-9477
Fax: (405) 271-9479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1077 (OK)

Record details

NPI number1407388861
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCCSLP/L
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 3, 2017
Mailing address2305 Augusta Dr, Moore, OK 73160-6261

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