Doctor Name: | JUDY CLEMANS |
NPI Number: | 1245449339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 59837 |
Business Practice Address: | 5120 Hwy 54 Ne Guymon, OK - 73942 |
Business Phone Number: | 5803385851 |
Business Fax Number: | 5803386022 |
Mailing Address: | 1222 10th St Ste 211, WOODWARD |
State: | OK |
Postal Code: | 738013156 |
Phone Number: | 5803385851 |
Fax Number: | 5803386022 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 59837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |