Doctor Name: | MARIA L PLATA |
NPI Number: | 1477728566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC, NCC |
License Number: | |
Business Practice Address: | 2701 Pelican Way Blanchard, OK - 730108992 |
Business Phone Number: | 4053269303 |
Business Fax Number: | |
Mailing Address: | 2701 Pelican Way, BLANCHARD |
State: | OK |
Postal Code: | 730108992 |
Phone Number: | 4053269303 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |