Doctor Name: | MRS. PATRICIA ANNETTE RANEY |
NPI Number: | 1225394125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2484 Sw Cravens Rd Wilburton, OK - 745786834 |
Business Phone Number: | 9184417392 |
Business Fax Number: | |
Mailing Address: | 2484 Sw Cravens Rd, WILBURTON |
State: | OK |
Postal Code: | 745786834 |
Phone Number: | 9184417392 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
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: |