Doctor Name: | MS. MARY ANN SPAWLDING |
NPI Number: | 1003831181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC LADC |
License Number: | 189 |
Business Practice Address: | 430 W Main St Norman, OK - 73069 |
Business Phone Number: | 4053215574 |
Business Fax Number: | 4054474419 |
Mailing Address: | 613 Springwood Ln, NORMAN |
State: | OK |
Postal Code: | 73072 |
Phone Number: | 4058314609 |
Fax Number: | 4054474419 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 189 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |