Doctor Name: | NATALIE GIPSON |
NPI Number: | 1588982078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAMFT |
License Number: | |
Business Practice Address: | 214 Sw 30th Okc, OK - 73109 |
Business Phone Number: | 4052721610 |
Business Fax Number: | |
Mailing Address: | 2500 Thomas Dr Apt 712, EDMOND |
State: | OK |
Postal Code: | 730032274 |
Phone Number: | 4054766558 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2010 |
NPI Last Update Date: | 05/10/2010 |
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: |