| Deardorf Family Services, Inc. | |
|
123 E Tonhawa St Suite 100 Norman OK 73069-7209 | |
| (405) 701-6012 | |
| Not Available |
| Full Name | Deardorf Family Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 123 E Tonhawa St, Norman, Oklahoma |
| Authorized Official Name and Position | Emily Deardorf (PRESIDENT) |
| Authorized Official Contact | 3166558577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deardorf Family Services, Inc. 1020 Shadowlake Rd Norman OK 73071-6877 Ph: (316) 655-8577 | Deardorf Family Services, Inc. 123 E Tonhawa St Suite 100 Norman OK 73069-7209 Ph: (405) 701-6012 |
| NPI Number | 1720522584 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720522584 | NPI | - | NPPES |
| 200355600B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4786 (Oklahoma) | Primary |
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