Doctor Name: | MRS. LATOYIA MONIQUE NUNLEY |
NPI Number: | 1073800439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS IN CORRECTIONS |
License Number: | |
Business Practice Address: | 1300 Se 3rd Moore, OK - 73160 |
Business Phone Number: | 4059122219 |
Business Fax Number: | |
Mailing Address: | 1300 Se 3rd, MOORE |
State: | OK |
Postal Code: | 73160 |
Phone Number: | 4054367474 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2011 |
NPI Last Update Date: | 02/20/2015 |
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: |