NPI 1457663759 EVALLISON EDDY LPC PRYOR OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Evallison Eddy - NPI: 1457663759

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: EVALLISON EDDY
NPI Number: 1457663759
Entity Type Code: Individual (1)
Gender: F
Credentials: LPC
License Number:
Business Practice Address: 231 E Graham Ave
Pryor, OK - 743612436
Business Phone Number: 9188251405
Business Fax Number: 9188251406
Mailing Address: 231 E Graham Ave,
PRYOR
State: OK
Postal Code: 743612436
Phone Number: 9188251405
Fax Number: 9188251406
NPI Enumeration Date: 07/02/2010
NPI Last Update Date: 03/18/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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