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NPI Code Detail

MEDICARE: DR. SANDRA KAYE CHONEY PHD

MEDICARE: DR. SANDRA KAYE CHONEY PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist694OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134199292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA KAYE CHONEY PHD
Provider Business Mailing Address
First Line : 2401 W WRANGLER BLVD
Second Line :
City : SEMINOLE
State : OK
Zip : 74868-1917
Country : US
Telephone Number : 405-303-4167
Fax Number : 405-303-4156
Provider Business Practice Location Address
First Line : 2401 W WRANGLER BLVD
Second Line :
City : SEMINOLE
State : OK
Zip : 74868-1917
Country : US
Telephone Number : 405-303-4167
Fax Number : 405-303-4156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 06/17/2008

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