Healthcare Provider Details

I. General information

NPI: 1700126588
Provider Name (Legal Business Name): MARGARET LEE ZINGMAN PH. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGIE LEE ZINGMAN PH. D.

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W 8TH ST
CHANDLER OK
74834-2604
US

IV. Provider business mailing address

204 W 8TH ST
CHANDLER OK
74834-2604
US

V. Phone/Fax

Practice location:
  • Phone: 918-629-2317
  • Fax:
Mailing address:
  • Phone: 918-629-2317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1084
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: