MS. DEANDRIA ELAINE RIDEAU PSYCHOTHERAPIST NPI 1720287428

NPI Information

NPI: 1720287428
Provider Name: MS. DEANDRIA ELAINE RIDEAU, PSYCHOTHERAPIST
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
810 TURTLE CREEK DR
CHOCTAW, OK
ZIP 73020
Phone: (405) 848-5620
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MS. Deandria Elaine Rideau, PSYCHOTHERAPIST is a mental health counselor in Choctaw, OK. MS. Deandria Elaine Rideau, PSYCHOTHERAPIST NPI is 1720287428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

810 TURTLE CREEK DR
CHOCTAW, OK
ZIP 73020-433
Phone: (405) 848-5620
Fax: (405) 848-5619

The enumeration date for this NPI number is 7/12/2007 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		OKLAHOMA	No
2	101YM0800X	Counselor	Mental Health		OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100742400F	MEDICAID	OKLAHOMA
2	100742400B	MEDICAID	OKLAHOMA
3	100742400D	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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