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NPI Code Detail

MEDICARE: MS. SHEILA DAWN WEBB

MEDICARE:  MS. SHEILA DAWN WEBB
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YM0800XMental Health CounselorOK
4103K00000XBehavior Analyst
5171M00000XCase Manager/Care Coordinator
6251B00000XCase Management AgencyOK
7302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1952702110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA DAWN WEBB
Provider Business Mailing Address
First Line : 3317 NORTHEAST 18TH STREET
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73121
Country : US
Telephone Number : 405-882-1488
Fax Number :
Provider Business Practice Location Address
First Line : 3317 NE 18TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73121-2881
Country : US
Telephone Number : 405-882-1488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/08/2014

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Directions to “ MS. SHEILA DAWN WEBB ” Practice Location

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