NPI Profile for BARBARA S EDDY in CUSTER CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1013221951 |
|
| Status | Active | |
| Credentials | LPC 2613 | |
| Entity | Individual | |
| Enumeration date | 08/03/2010 | |
| Last updated | 08/03/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BARBARA S EDDY
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