Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Thomas Bristow, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1841958238

Mr. Michael Thomas Bristow, MS, CCC-SLP is a Speech-Language Pathologist in Ponca City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science 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

1900 N 14th St
Ponca City, OK 74601-2035
Phone: (580) 765-0518
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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 4397 (OK)

Record details

NPI number1841958238
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateNovember 16, 2021

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