Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mitzi Davis Booth, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750469722

Mrs. Mitzi Davis Booth, MS, CCC-SLP is a Speech-Language Pathologist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

2208 W Detroit St Ste 202
Broken Arrow, OK 74012-3642
Phone: (918) 806-0106
Fax: (918) 806-0113
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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 3142 (OK)

Record details

NPI number1750469722
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 19, 2010

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