Healthcare Provider Details

I. General information

NPI: 1164136628
Provider Name (Legal Business Name): CUNNING OPPORTUNITIES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 LINDSAY LN
SPENCER OK
73084-3541
US

IV. Provider business mailing address

7329 NW 21ST ST
BETHANY OK
73008-5638
US

V. Phone/Fax

Practice location:
  • Phone: 580-215-0400
  • Fax:
Mailing address:
  • Phone: 580-215-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NYREE DAWN CUNNINGHAM-PULLEN
Title or Position: FOUNDER/PRESIDENT
Credential: PHD
Phone: 580-215-0400