Healthcare Provider Details

I. General information

NPI: 1134751175
Provider Name (Legal Business Name): DR. BETTY-ANN CYR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 NE 13TH ST
OKLAHOMA CITY OK
73104-5007
US

IV. Provider business mailing address

1205 S AIR DEPOT BLVD # 240
MIDWEST CITY OK
73110-4807
US

V. Phone/Fax

Practice location:
  • Phone: 405-456-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0007025
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: