Cameron W Fletcher

Individual provider Active NPI Peer Specialist · Tecumseh, OK

NPI 1134812217 · NPPES record last updated Jun 2, 2023

Key facts

NPI
1134812217
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
24962 Okay Rd
Tecumseh, OK 74873-6504
Phone
(405) 394-4020
NPI assigned
Jun 2, 2023
Sex
Male
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 OK Yes

Addresses

Primary practice location

24962 Okay Rd
Tecumseh, OK 74873-6504

Mailing address

1600 Bedford LN
Norman, OK 73072-6557
Phone (405) 394-4020

Other providers in Tecumseh, OK

All providers in Tecumseh, OK · Peer Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.