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NPI Code Detail

MEDICARE: MALIKA HOPE GIVENS BHRS

MEDICARE: MALIKA HOPE GIVENS BHRS
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
1103TR0400XRehabilitation Psychologist

General Provider Information

NPI Number : 1679850432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALIKA HOPE GIVENS BHRS
Provider Business Mailing Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-735-3683
Fax Number : 405-735-3524
Provider Business Practice Location Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-735-3683
Fax Number : 405-735-3524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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