MEDICARE: NATALIE BIDDINGER HAYMAKER LCSW

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	1041C0700X	Clinical Social Worker	5223	OK

General Provider Information

NPI Number	:	1417455122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE BIDDINGER HAYMAKER LCSW

Provider Business Mailing Address
First Line	:	2924 HUNTLEIGH DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2503
Country	:	US
Telephone Number	:	405-921-7988
Fax Number	:

Provider Business Practice Location Address
First Line	:	2924 HUNTLEIGH DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2503
Country	:	US
Telephone Number	:	405-921-7988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2018
Last Update Date	:	01/28/2018

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