Healthcare Provider Details
I. General information
NPI: 1003245325
Provider Name (Legal Business Name): ASHLEY BETH TURNER MUNS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/07/2013
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6418 N SANTA FE AVE STE C
OKLAHOMA CITY OK
73116-9100
US
IV. Provider business mailing address
1716 SE 17TH ST
MOORE OK
73160-7437
US
V. Phone/Fax
- Phone: 405-219-6749
- Fax:
- Phone: 405-219-6749
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: