Meredith, Deidra Rachelle
Meredith, Deidra Rachelle is an sole proprietor health care provider with primary practice located at 647 N Kickapoo Ave , Shawnee OK 74801-6063. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Meredith, Deidra Rachelle can be contacted via phone (405) 214-0933.Contact Information
Primary practice address
647 N Kickapoo Ave
Shawnee OK 74801-6063
Phone: (405) 214-0933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1932402948 |
|---|---|
| LBN Legal business name | Meredith, Deidra Rachelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2010 |
| Last updated | Dec 13th, 2010 - about 16 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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