1437489929 NPI number — MRS. MARTI LYNN ROBEY-FOX MS, LPC

Table of content: MRS. MARTI LYNN ROBEY-FOX MS, LPC (NPI 1437489929)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437489929 NPI number — MRS. MARTI LYNN ROBEY-FOX MS, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBEY-FOX
Provider First Name:
MARTI
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROBEY-GREGORY
Provider Other First Name:
MARTI
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437489929
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7207 E JACKSON PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROKEN ARROW
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74014-2834
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-809-1686
Provider Business Mailing Address Fax Number:
918-994-7232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6202 S LEWIS AVE
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74136-1099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-949-4515
Provider Business Practice Location Address Fax Number:
918-949-4523
Provider Enumeration Date:
01/05/2010

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:  5399 , 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)





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