Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TR0400X | Rehabilitation Psychologist | ||
Y | 104100000X | Social Worker |
NPI | 1033438551 |
---|---|
Provider Name | Mrs. Ashley Roby |
First Address | Norman, OK 73071-5229 |
Second Address | Norman, OK 73071-5229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 05/10/2012 |