MRS. STEPHANIE DIANE GOLDMAN


Address: 403 N Clarence Nash Blvd, Watonga, OK 73772-3636
Phone: 5806235433

MRS. STEPHANIE DIANE GOLDMAN (NPI# 1104113083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104113083
Entity Type Individual
Full Name MRS. STEPHANIE DIANE GOLDMAN
Credential BHR
Practice Address 403 N Clarence Nash Blvd
Watonga
OK 73772-3636
Mailing Address 1500 E Proctor Ave Apt 2
Weatherford
OK 73096-4239
Practice Telephone 5806235433
Practice Fax Number 5806232409
Mailing Telephone 5808193200
Enumeration Date 2011-06-29
Last Update Date 2011-06-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Other Providers STEPHANIE GOLDMAN

NPI Name Taxonomy Address Enumeration
1649302712 Stephanie Melissa Goldman Marriage & Family Therapist 1200 Wilshire Blvd Ste 210, Los Angeles, CA 90017-1931 2007-03-12

Office Location

Street Address 403 N CLARENCE NASH BLVD
City WATONGA
State OK
Zip Code 73772-3636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811123334 Maria Ruth Slay Counselor 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2009-06-10
1477069912 Renee Madden Case Manager/Care Coordinator 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2017-12-20
1134465891 Yco West, Inc Clinic/Center 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2012-12-27
1083973416 Steve N Weber Clinic/Center 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2012-05-04
1043596174 William Gault Counselor 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2011-11-03
1710260328 Kay Weber Counselor 403 N Clarence Nash Blvd, Watonga, OK 73772-0000 2011-09-21
1134413503 Dana Marie Clark Counselor 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2011-06-02
1619261377 Elite Psychiatric Services LLC Community/Behavioral Health 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2011-05-30
1033430574 Patrica Lou Thompson Counselor 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 2010-06-18
1013236066 Elite Counseling LLC Community/Behavioral Health 403 N Clarence Nash Blvd, Box 658, Watonga, OK 73772-3636 2010-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225546815 Sabrina Marie Yoder Case Manager/Care Coordinator 115 East 1st Street, Watonga, Ok, OK 73772 2018-01-17
1285150847 Miriam Vaughan Community Health Worker 115 1/2 E 1st St, Watonga, OK 73772 2017-08-16
1053697649 Marlin R Giles Community/Behavioral Health 403 Clarence Nash, Watonga, OK 73772 2011-10-26
1174811681 Matthew Giles Community/Behavioral Health 1114 Villa Dr., Watonga, OK 73772 2011-07-18
1003127937 Linda Jolane Scott Counselor 115 E. 1st Street, Watonga, OK 73772 2010-06-25
1063686764 Brianna Auge Counselor 214 'a' Street, Watonga, OK 73772 2008-04-15
1770778417 Jaycif A Justice Social Worker 216 W 'a' St., Watonga, OK 73772 2007-09-06
1609938984 Flauryse M Baguidy Dentist Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 2006-12-14
1437603768 City of Watonga Ambulance 305 W Main, Watonga, OK 73772 2016-08-03
1982976742 Richard Zielinski Md, Pllc Psychiatry & Neurology 712 W 3rd St, Watonga, OK 73772 2012-02-08
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982006789 Jeffrey Johns Psychologist 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 2014-09-23
1659771996 Jessica Pendergraft Psychologist 615 Amy Dr, Waukomis, OK 73773-1033 2014-08-22
1205249349 Qiana Hawthorne Psychologist 104 Winter Wheat Dr, Guthrie, OK 73044-7750 2014-06-06
1962815902 Robbin Vanwinkle Psychologist 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 2014-06-06
1275946683 Silvia De Loera Psychologist 1416 Nw 126th St, Oklahoma City, OK 73120-5100 2014-06-04
1306256847 Jonelle Freeman Psychologist 336 E Beech Ave, Enid, OK 73701-1702 2014-05-06
1114337664 Katelyn James Psychologist 2020 Willow Run Ste 100, Enid, OK 73703-1421 2014-05-06
1043638760 Jana Darnall Psychologist 405 N Neshoba St, Tishomingo, OK 73460-1247 2014-03-31
1114344223 Jordan Harvey Psychologist 174 Daniels St, Healdton, OK 73438-1417 2014-03-26
1528489937 Malerie Guilbeau Psychologist 1009 N Birch Ave, Sand Springs, OK 74063-8901 2014-01-02
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Competitor

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City WATONGA
Zip Code 73772

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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