MS. SUZIE DEANN BRADDOCK LPC NPI 1003021106

NPI Information

  • NPI: 1003021106
  • Provider Name: MS. SUZIE DEANN BRADDOCK, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3000 N MAIN ST
    SUITE C
    ALTUS, OK
    ZIP 73521
  • Phone: (580) 471-9948

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NPI Details

MS. Suzie Deann Braddock, LPC is a professional counselor in Altus, OK. MS. Suzie Deann Braddock, LPC NPI is 1003021106. 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:

3000 N MAIN ST
SUITE C
ALTUS, OK
ZIP 73521-348
Phone: (580) 471-9948

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2007.

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
1101YP2500XCounselorProfessional2945OKLAHOMAYes

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: 3/30/2025

NPI Synchronization or Removal

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