Basic Information
| Provider Information | |||||||||
| NPI: | 1942583653 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | APPLEBAUM | ||||||||
| FirstName: | MICHELLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14200 N MAY AVE | ||||||||
| Address2: | #1324 | ||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731345033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9723427563 | ||||||||
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| Practice Location | |||||||||
| Address1: | 330 W MAIN ST | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73069 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4059196821 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2011 | ||||||||
| LastUpdateDate: | 09/20/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TR0400X | Y | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation |
No ID Information.