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NPI Code Detail

MEDICARE: SUSAN BARNES

MEDICARE: SUSAN BARNES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1114867116
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN BARNES
Provider Business Mailing Address
First Line : 1008 24TH AVE NW
Second Line :
City : NORMAN
State : OK
Zip : 73069-6369
Country : US
Telephone Number : 405-310-3262
Fax Number :
Provider Business Practice Location Address
First Line : 1008 24TH AVE NW
Second Line :
City : NORMAN
State : OK
Zip : 73069-6369
Country : US
Telephone Number : 405-310-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ SUSAN BARNES ” Practice Location

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