Healthcare Provider Details

I. General information

NPI: 1225156458
Provider Name (Legal Business Name): BARBARA MAE HILDEBRANT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W GRAY ST SUITE 206
NORMAN OK
73069-7129
US

IV. Provider business mailing address

330 W GRAY ST SUITE 206
NORMAN OK
73069-7129
US

V. Phone/Fax

Practice location:
  • Phone: 405-329-4196
  • Fax:
Mailing address:
  • Phone: 405-329-4196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1523
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: