Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 261QM0801X | OK |
NPI | 1154669620 |
---|---|
Provider Name | Allison Stegman |
First Address | Guthrie, OK 73044-6951 |
Second Address | Guthrie, OK 73044-6951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2013 |
Last Update Date | 17/01/2013 |