DEENA JUNE PATRICK NPI 1275131823

NPI Information

NPI: 1275131823
Provider Name: DEENA JUNE PATRICK
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2536 N BOSTON AVE
TULSA, OK
ZIP 74106
Phone: (918) 645-2547
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Deena June Patrick is a peer specialist in Tulsa, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Deena June Patrick NPI is 1275131823. 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:

2536 N BOSTON AVE
TULSA, OK
ZIP 74106-609
Phone: (918) 645-2547
Fax: (918) 663-0203

The enumeration date for this NPI number is 10/15/2020 and was last updated on 10/15/2020.

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	175T00000X	Peer Specialist				No
2	175T00000X	Peer Specialist			OKLAHOMA	Yes

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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