NPI 1063714335 MRS. ROBERTA NICOLE PRATT TISHOMINGO OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Roberta Nicole Pratt - NPI: 1063714335

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. ROBERTA NICOLE PRATT
NPI Number: 1063714335
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number:
Business Practice Address: 504 E 24th St
Tishomingo, OK - 734603214
Business Phone Number: 9038150843
Business Fax Number: 5803719944
Mailing Address: 504 E 24th St,
TISHOMINGO
State: OK
Postal Code: 734603214
Phone Number: 9038150843
Fax Number: 5803719944
NPI Enumeration Date: 11/18/2010
NPI Last Update Date: 11/18/2010
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:


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