Rideau, Deandria Elaine

Rideau, Deandria Elaine is an individual health care provider with primary practice located at 810 Turtle Creek Dr , Choctaw OK 73020-7433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rideau, Deandria Elaine can be contacted via phone (405) 848-5620.

Contact Information

Primary practice address
810 Turtle Creek Dr Choctaw OK 73020-7433
Phone: (405) 848-5620
Fax: (405) 848-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma

Profile Details

NPI number 1720287428
LBN Legal business name Rideau, Deandria Elaine
Credentials PSYCHOTHERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Apr 14th, 2023 - about 3 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 1720287428 NPPES
Oklahoma MEDICAID 100742400F
Oklahoma MEDICAID 100742400B
Oklahoma MEDICAID 100742400D

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