1811270424 NPI number — MRS. POLLY BREDY M ED LPC

Table of content: MRS. POLLY BREDY M ED LPC (NPI 1811270424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811270424 NPI number — MRS. POLLY BREDY M ED LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BREDY
Provider First Name:
POLLY
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M ED LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811270424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15135 N 2330 RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROOSEVELT
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73564-4023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-331-8727
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 S BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOBART
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73651-1834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-726-3383
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2535 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100707910B , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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