SUSAN M BREDEMEYER, LPC, Professional TULSA, OK

Contact Information

SUSAN M BREDEMEYER, LPC

6216 S LEWIS AVE STE 102
TULSA, OK 74136-1075

Phone: 539-286-3955
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Mental Health	101YM0800X

Indicates primary specialty

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NPI Profile & details for SUSAN M BREDEMEYER · (Female)

NPI #	`1851736920`
Status	Active
Credentials	LPC (Licensed Professional Counselor)
Entity	Individual
Enumeration date	05/02/2013
Last updated	09/24/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	OK License # 10216 OK Medicaid 200287120A
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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