1679872535 NPI number — OKLAHOMA STATE UNIVERSITY

Table of content: BRITTNEY MARIE HERMAN M.ED., LPC, NCC (NPI 1609437086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679872535 NPI number — OKLAHOMA STATE UNIVERSITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OKLAHOMA STATE UNIVERSITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1679872535
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
233 HES
Provider Second Line Business Mailing Address:
OKLAHOMA STATE UNIVERSITY
Provider Business Mailing Address City Name:
STILLWATER
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74078-6122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-744-5058
Provider Business Mailing Address Fax Number:
405-744-2800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 HES-WEST
Provider Second Line Business Practice Location Address:
OKLAHOMA STATE UNIVERSITY
Provider Business Practice Location Address City Name:
STILLWATER
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74078-6122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-744-5058
Provider Business Practice Location Address Fax Number:
405-744-2800
Provider Enumeration Date:
03/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
STEPHAN
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
DEAN, COLLEGE OF HES
Authorized Official Telephone Number:
405-744-9805

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  920 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 872 , 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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