Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1639498058 |
---|---|
Provider Name | Ms. Stephanie Dawn Parnell |
First Address | Sand Springs, OK 74063-2379 |
Second Address | Tulsa, OK 74119-4003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 25/05/2010 |