Healthcare Provider Details

I. General information

NPI: 1992818868
Provider Name (Legal Business Name): DEBRA A SIGMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 01/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 FREDERICK DR
OKLAHOMA OK
73159
US

IV. Provider business mailing address

1305 FREDERICK DR
OKLAHOMA OK
73159
US

V. Phone/Fax

Practice location:
  • Phone: 405-685-1944
  • Fax:
Mailing address:
  • Phone: 405-685-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2994
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: