Healthcare Provider Details

I. General information

NPI: 1568874048
Provider Name (Legal Business Name): SAVANNAH KALMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW 23RD ST
OKLAHOMA CITY OK
73103-1469
US

IV. Provider business mailing address

600 NW 23RD ST
OKLAHOMA CITY OK
73103-1469
US

V. Phone/Fax

Practice location:
  • Phone: 405-227-9681
  • Fax:
Mailing address:
  • Phone: 405-227-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: