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Contact Information

SUZIE D BRADDOCK, LPC
3000 N MAIN ST
SUITE C
ALTUS, OK73521-1348
 Phone: 580-471-9948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for SUZIE D BRADDOCK · (Female)

NPI Number 1003021106
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 05/11/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 2945
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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