Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | OK |
NPI | 1013320241 |
---|---|
Provider Name | Dr. Karen Sue Greenfield |
First Address | Oklahoma City, OK 73116-3603 |
Second Address | Oklahoma City, OK 73116-3603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 05/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200078920A | (05) | OK |