Collyn Deshae Moone in Norman - Clinical
Collyn Deshae Moone - NPI 1497912745
Collyn Deshae Moone is a Clinical in Norman, Oklahoma. Collyn Deshae Moone practices all healthcare services and medical treatments related to Clinical. The NPI Number for Collyn Deshae Moone is 1497912745. The last update date is 2008-06-06.
Collyn Deshae Moone's current location address is 3750 W Main St, Norman, Oklahoma. You can contact this provider via phone number 4057012700 and fax number 4053218577. The mailing address for Collyn Deshae Moone is 3750 W Main St, Norman, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Collyn Deshae Moone |
|---|---|
| Address | 3750 W Main St, Norman, Oklahoma |
| Phone Number | 4057012700 |
| Fax Number | 4053218577 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497912745 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 3750 W Main St |
|---|---|
| City | Norman |
| State | Oklahoma (OK) |
| Post Code | 730724657 |
| Phone Number | 4057012700 |
| Fax Number | 4053218577 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3160 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Collyn Deshae Moone by the Centers for Medicare & Medicaid Services?
The Collyn Deshae Moone has been issued the NPI (National Provider Identifier) 1497912745, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Collyn Deshae Moone is physically located?
The Collyn Deshae Moone is situated at the following address: 3750 W Main St, Norman, OK 730724657.
What is the Collyn Deshae Moone's specialty and taxonomy code?
The Collyn Deshae Moone's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1497912745 assigned to Collyn Deshae Moone?
The Collyn Deshae Moone was issued its 1497912745 on 2008-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Collyn Deshae Moone, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Collyn Deshae Moone, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-06.