Doctor Name: | MRS. LAYLA SOUAD AL-KHATEIB |
NPI Number: | 1144505496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED, CSP, LPC CAN. |
License Number: | |
Business Practice Address: | 301 E Court St Atoka, OK - 745252047 |
Business Phone Number: | 5808892400 |
Business Fax Number: | |
Mailing Address: | 2338 N 49th Ave, DURANT |
State: | OK |
Postal Code: | 747011504 |
Phone Number: | 5809205568 |
Fax Number: | 5808894050 |
NPI Enumeration Date: | 10/19/2011 |
NPI Last Update Date: | 10/19/2011 |
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: |