Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4400 | OK |
NPI | 1003116310 |
---|---|
Provider Name | Cheryl Ann Coy |
First Address | Oklahoma City, OK 73112-1439 |
Second Address | Oklahoma City, OK 73112-1439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2010 |
Last Update Date | 02/11/2010 |