Doctor Name: | CYNTHIA KAYE STUBBLEFIELD |
NPI Number: | 1114349875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC CAND. |
License Number: | |
Business Practice Address: | 724 S Mission St Sapulpa, OK - 740664660 |
Business Phone Number: | 9182484340 |
Business Fax Number: | 9182484345 |
Mailing Address: | 724 S Mission St, SAPULPA |
State: | OK |
Postal Code: | 740664660 |
Phone Number: | 9182484340 |
Fax Number: | 9182484345 |
NPI Enumeration Date: | 01/15/2014 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |