Healthcare Provider Details

I. General information

NPI: 1063309664
Provider Name (Legal Business Name): ASHLEE SHAY-COX MOSIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 NW 4TH ST
STIGLER OK
74462-1653
US

IV. Provider business mailing address

1408 NEWBURY DR
NORMAN OK
73071-3815
US

V. Phone/Fax

Practice location:
  • Phone: 405-531-7442
  • Fax:
Mailing address:
  • Phone: 405-531-7442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21666
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: