Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TR0400X | Rehabilitation Psychologist | 0097926 | OK |
NPI | 1265784920 |
---|---|
Provider Name | Ginny E Onuoha |
First Address | Edmond, OK 73012-7065 |
Second Address | Edmond, OK 73012-7065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2012 |
Last Update Date | 05/10/2012 |