Doctor Name: | EVA MASSEY |
NPI Number: | 1073716270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 299 |
Business Practice Address: | 7905 E. Hwy 66 El Reno, OK - 73036 |
Business Phone Number: | 4052645514 |
Business Fax Number: | |
Mailing Address: | 815 S Macomb Ave, EL RENO |
State: | OK |
Postal Code: | 730364717 |
Phone Number: | 4052625029 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |