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NPI Code Detail

MEDICARE: HAILEY LANDERS

MEDICARE: HAILEY LANDERS
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
1101YP2500XProfessional Counselor11937OK

General Provider Information

NPI Number : 1346833688
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY LANDERS
Provider Business Mailing Address
First Line : 9027 E 36TH ST
Second Line :
City : TULSA
State : OK
Zip : 74145-3407
Country : US
Telephone Number : 918-515-0624
Fax Number :
Provider Business Practice Location Address
First Line : 7161 S BRADEN AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-6302
Country : US
Telephone Number : 293-591-8319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2021
Last Update Date : 02/17/2026

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Directions to “ HAILEY LANDERS ” Practice Location

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