Doctor Name: | ALISIA (ALI) LEANNE DRENNAN |
NPI Number: | 1023380250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 1650 W Tecumseh Rd Ste 500 Norman, OK - 730698271 |
Business Phone Number: | 4053210240 |
Business Fax Number: | |
Mailing Address: | 716 Landsdowne Dr, NORMAN |
State: | OK |
Postal Code: | 730724213 |
Phone Number: | 4056134520 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 03/23/2012 |
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: |