Stacey Renee Dry
Individual provider Active NPI School Counselor · Bristow, OK
NPI 1295054567 · NPPES record last updated May 25, 2010
Key facts
- NPI
- 1295054567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- License
- 235026 (OK)
- Practice address
- 32890 S 321St West Ave
Bristow, OK 74010-4215 - Phone
- (918) 367-6485
- NPI assigned
- May 25, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235026 | OK | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 235026 | OK | Yes |
Addresses
Primary practice location
32890 S 321St West Ave
Bristow, OK 74010-4215
Mailing address
32890 S 321St West Ave
Bristow, OK 74010-4215
Phone (918) 367-6485
Other providers in Bristow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.