Shannon Wattie
Counselor
3000 United Founders Blvd Ste 239
Oklahoma City
, Oklahoma 73112-4279
(405) 840-7040
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About
Features
Specialties
- Counselor
Languages spoken
- English
Location
First Address
- Shannon Wattie
- 3000 United Founders Blvd Ste 239
- Oklahoma City, OK
- Zip : 73112-4279
- Phone : (405) 840-7040
Second Address
- Shannon Wattie
- 3000 United Founders Blvd Ste 239
- Oklahoma City, OK
- Zip : 73112-4279
- Phone : (405) 840-7040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 240 | OK |
National Provider Identifier
| NPI | 1003015488 |
|---|---|
| Provider Name | Shannon Wattie |
| First Address | Oklahoma City, OK 73112-4279 |
| Second Address | Oklahoma City, OK 73112-4279 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2007 |
| Last Update Date | 16/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.