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

Individual provider Speech-Language Pathologist · NPI 1548452709

Tracy Michele Jimenez, SLP-CCC is a Speech-Language Pathologist in Ada, Oklahoma. Practices as a sole proprietor. Licensed in Arizona and Oklahoma.

Licensed in
AZ, OK
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

430 N Monte Vista St
Ada, OK 74820-4610
Phone: (580) 421-1303
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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 3610 (OK)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP1515 (AZ)

Record details

NPI number1548452709
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-CCC
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

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