Fletcher, Vondy C

Fletcher, Vondy C is an sole proprietor health care provider with primary practice located at 504 W Atlanta St , Broken Arrow OK 74012-7004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fletcher, Vondy C can be contacted via phone (702) 907-0741.

Contact Information

Primary practice address
504 W Atlanta St Broken Arrow OK 74012-7004
Phone: (702) 907-0741
Fax: (539) 367-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X CI0334 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X 10010 Oklahoma
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X CP1269 Nevada

Profile Details

NPI number 1992205140
LBN Legal business name Fletcher, Vondy C
Credentials MS, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Aug 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992205140 NPPES
Nevada MEDICAID 145600645

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