MEDICARE: HEATHER NEFF

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1730584681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER NEFF

Provider Business Mailing Address
First Line	:	7804 S MILLER BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-4622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7804 S MILLER BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-4622
Country	:	US
Telephone Number	:	405-513-1925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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Directions to “ HEATHER NEFF ” Practice Location

Language	Start Address	Practice Location

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