Senita Parker

Individual provider Active NPI Peer Specialist · Spencer, OK

NPI 1033737663 · NPPES record last updated Jul 9, 2020

Key facts

NPI
1033737663
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
8515 NE 25TH St
Spencer, OK 73084-3818
Phone
(405) 796-7010
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

8515 NE 25TH St
Spencer, OK 73084-3818

Mailing address

8515 NE 25TH St
Spencer, OK 73084-3818
Phone (405) 796-7010

Other providers in Spencer, OK

All providers in Spencer, OK · Peer Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.