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NPI Code Detail

MEDICARE: MRS. PAULA F. SAMMONS L.P.C.

MEDICARE:  MRS. PAULA F. SAMMONS  L.P.C.
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 Counselor2160OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235456351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA F. SAMMONS L.P.C.
Provider Business Mailing Address
First Line : 6004 SE 67TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-1735
Country : US
Telephone Number : 405-604-7056
Fax Number :
Provider Business Practice Location Address
First Line : 316 S MIDWEST BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4642
Country : US
Telephone Number : 405-733-7770
Fax Number : 405-732-7741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2010
Last Update Date : 04/29/2010

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Directions to “ MRS. PAULA F. SAMMONS L.P.C.” Practice Location

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