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

Individual provider Speech-Language Pathologist · NPI 1578145629

Randel Derose, MA, CCC-SLP is a Speech-Language Pathologist in Oklahoma City, Oklahoma. Works from 3 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
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

11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone: (405) 548-4300
Fax: (405) 548-4349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2272 36th Ave Nw Ste 200, Norman, OK 73072-3251 — (405) 767-4200
  • 8125 E 101st St Ste 50, Tulsa, OK 74133-7245 — (918) 392-7600

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (OK)

Record details

NPI number1578145629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

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