Doctor Name: | ESTHER LEANNE ADKISON |
NPI Number: | 1205100369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1502 S Virginia Ave Atoka, OK - 745253222 |
Business Phone Number: | 5808893799 |
Business Fax Number: | 5808894842 |
Mailing Address: | 1502 S Virginia Ave, ATOKA |
State: | OK |
Postal Code: | 745253222 |
Phone Number: | 5808893799 |
Fax Number: | 5808894842 |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |