Doctor Name: | MR. SEAN M OAKLEY |
NPI Number: | 1023370814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 6701 Highway 67 South Bldg 4 Benton, AR - 720158909 |
Business Phone Number: | 5013153344 |
Business Fax Number: | 5013033258 |
Mailing Address: | 1718 Hot Springs Hwy, BENTON |
State: | AR |
Postal Code: | 720192116 |
Phone Number: | 5013153344 |
Fax Number: | 5013033258 |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 12/05/2013 |
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: |