Basic Information
Provider Information
NPI: 1003146754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POST
FirstName: LORETTA
MiddleName: GAIL
NamePrefix:  
NameSuffix:  
Credential: CPRSS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 E MAIN STREET
Address2:  
City: NORMAN
State: OK
PostalCode: 73071
CountryCode: US
TelephoneNumber: 4053074836
FaxNumber:  
Practice Location
Address1: 900 E MAIN ST
Address2:  
City: NORMAN
State: OK
PostalCode: 730715305
CountryCode: US
TelephoneNumber: 4053074836
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/31/2009
LastUpdateDate: 12/31/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


Home