Doctor Name: | ASHLEY SELLERS |
NPI Number: | 1003124231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 420 Ferrill St Norman, OK - 730715021 |
Business Phone Number: | 5805833234 |
Business Fax Number: | |
Mailing Address: | Po Box 50, NORMAN |
State: | OK |
Postal Code: | 730700050 |
Phone Number: | 5805833234 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |