Healthcare Provider Details
I. General information
NPI: 1851308001
Provider Name (Legal Business Name): SARAH MILLER COATS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/01/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2623 N VAN BUREN ST
ENID OK
73703-1713
US
IV. Provider business mailing address
2623 N VAN BUREN ST
ENID OK
73703-1713
US
V. Phone/Fax
- Phone: 580-297-9960
- Fax: 580-297-9996
- Phone: 580-297-9960
- Fax: 580-297-9996
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 1024 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 1024 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: