Woody, Deitra Ann

Woody, Deitra Ann is an individual health care provider with primary practice located at 10920 Ne 52Nd St , Spencer OK 73084-5217. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Woody, Deitra Ann can be contacted via phone (405) 628-8243.

Contact Information

Primary practice address
10920 Ne 52Nd St Spencer OK 73084-5217
Phone: (405) 628-8243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1477813020
LBN Legal business name Woody, Deitra Ann
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Jan 7th, 2013 - about 13 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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