Doctor Name: | PENNY HULING |
NPI Number: | 1023205317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LBP |
License Number: | 0100 |
Business Practice Address: | 1719 Sw 11th St Lawton, OK - 735017305 |
Business Phone Number: | 5805811818 |
Business Fax Number: | 5805811819 |
Mailing Address: | Po Box 662, PURCELL |
State: | OK |
Postal Code: | 730800662 |
Phone Number: | 4055271785 |
Fax Number: | 4055271084 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |