MEDICARE: DENI FOUGHTY PH.D PLLC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1174290431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENI FOUGHTY PH.D PLLC

Provider Business Mailing Address
First Line	:	1201 MAGNOLIA CT STE 117
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-1433
Country	:	US
Telephone Number	:	405-922-1518
Fax Number	:	866-394-8572

Provider Business Practice Location Address
First Line	:	1201 MAGNOLIA CT STE 117
Second Line	:
City	:	MOORE
State	:	OK
Zip	:	73160-1433
Country	:	US
Telephone Number	:	405-309-1345
Fax Number	:	866-394-8572

Authorized Official
Title or Position	:	OWNER/LICENSED PSYCHOLOGIST
Name	:	DR. DENI FOUGHTY
Credential	:	PH.D.
Telephone Number	:	405-922-1518

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	04/23/2026

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