Doctor Name: | MS. DONNA SUE WIMMER-STEVES |
NPI Number: | 1255469953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., L.P.C., L.B.P. |
License Number: | 0016 |
Business Practice Address: | 711 N Bullitt St Holdenville, OK - 748483804 |
Business Phone Number: | 4053796668 |
Business Fax Number: | 4053795372 |
Mailing Address: | 1102 W Cummings St, HENRYETTA |
State: | OK |
Postal Code: | 744372422 |
Phone Number: | 9186500161 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0016 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |