| Doctor Name: | STORI LOUISE MAHAN |
| NPI Number: | 1063724524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 12721 Saint Andrews Ter Oklahoma City, OK - 731208807 |
| Business Phone Number: | 4055149072 |
| Business Fax Number: | |
| Mailing Address: | 12721 Saint Andrews Ter, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731208807 |
| Phone Number: | 4055149072 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2010 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |