Payne, Shirley Ann

Payne, Shirley Ann is an individual health care provider with primary practice located at 1950 N Okmulgee , Okmulgee OK 74447-6534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Payne, Shirley Ann can be contacted via phone (918) 756-7700.

Contact Information

Primary practice address
1950 N Okmulgee Okmulgee OK 74447-6534
Fax: (918) 756-3347
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3045 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3045 Oklahoma

Profile Details

NPI number 1669618385
LBN Legal business name Payne, Shirley Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2008
Last updated Jun 21st, 2011 - about 15 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 1669618385 NPPES
Oklahoma MEDICAID 100744410A

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