DR. LATISHA LYNN BADER


Address: 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: 4052735236

DR. LATISHA LYNN BADER (NPI# 1669786208) 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) 1669786208
Entity Type Individual
Full Name DR. LATISHA LYNN BADER
Other Name DR. LATISHA LYNN BRADDOCK
Credential PH.D.
Practice Address 2307 S Gordon Cooper Dr
Shawnee
OK 74801-9007
Practice Telephone 4052735236
Practice Fax Number 4052734345
Mailing Telephone 4052735236
Mailing Fax Number 4052734345
Enumeration Date 2010-08-05
Last Update Date 2010-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
1085 OK Behavioral Health & Social Service Providers

Office Location

Street Address 2307 S GORDON COOPER DR
City SHAWNEE
State OK
Zip Code 74801-9007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871571901 Carrie Ann Wood Internal Medicine 2307 S Gordon Cooper Dr, Shawnee, OK 74801 2006-01-09
1952678518 Dana Marie Kelley Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2011-11-28
1326348095 Tina Louise Ferguson Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2010-10-28
1528375359 Betty Jane Nicholson Registered Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2010-08-31
1598954695 Christia Ann Hallinan Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-10-15
1932396470 Lielani M Tull Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-28
1962699884 Samantha Rae Manion Licensed Practical Nurse 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-25
1952597833 Amanda Kaylene Felkner Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-24
1104012301 Aubre Ann Reed Clinic/Center 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-09-20
1417159690 Ray Tainpeah Counselor 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 2007-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609037 Melissa Lanier Specialist 801 N. Louisa, Shawnee, OK 74801 2017-03-02
1518365287 Melanie A. Croy Counselor 1605 N. Harrison, Shawnee, OK 74801 2014-12-12
1134532229 Megan Malouf Registered Nurse 2307 Gordon Cooper Dr., Shawnee, OK 74801 2014-06-05
1063836609 Daniel Antwain Shaw Counselor 605 S. Pottenger Ave, Shawnee, OK 74801 2014-02-18
1639514862 Cheryl Jeannette Left Hand Counselor 101 N. Union, Shawnee, OK 74801 2013-05-01
1881948644 Lena I Samilton Counselor 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 2012-11-01
1235433681 Jenifer Sloan Case Manager/Care Coordinator 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 2010-12-28
1295854958 Jack C Luman Dentist 1410 N Harrison St, Shawnee, OK 74801 2007-03-27
1942375274 M Gerald Ball Psychologist 819 North Kickapoo, Shawnee, OK 74801 2006-11-21
1205912573 Regina Steciak Tanner Physical Therapist 909 N Kickapoo, Shawnee, OK 74801 2006-10-31
Find all providers in zip 74801

Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700204930 Robert Pedroza Psychologist 5100 Quivira Rd, Shawnee, KS 66216-1349 2014-04-04
1740417179 Curtis G. Gilley Psychologist 41 Pam Dr, Shawnee, OK 74804-3313 2009-06-11
1467707430 Karen Anne Hynes Psychologist 504 N Broadway Ave, Shawnee, OK 74801-6927 2012-07-17
1942325816 Aileen Paula Utley Psychologist 7255 Renner Rd, Shawnee, KS 66217-3043 2007-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184267965 Oklahoma Counseling Professionals Psychologist 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 2019-10-23
1366090680 Jason K. White, Ph.d., LLC Psychologist 807 S. Pine St., Stillwater, OK 74074 2019-08-29
1386096659 Thomas Collins Psychologist 333 W Michael Dr, Midwest City, OK 73110-3319 2016-07-11
1164887170 Suzan B. Simmons, Ph.d,,pllc Psychologist 1916 Lake Rd, Ponca City, OK 74604-4800 2015-12-17
1760882807 Janet Marie Mcmahan Psychologist 53479 Cut Off Rd, Talihina, OK 74571-2371 2014-08-26
1790196202 Peter Rausch Psychologist 735 N. Foreman St., Vinita, OK 74301 2014-05-19
1235556911 Christopher Bowles Psychologist 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 2014-03-19
1497187215 Diane Yvonne Genther Psychologist 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 2013-08-02
1861839367 Candace Dawn Marzett Psychologist 2213 N Zenith Ave, Tulsa, OK 74127-2234 2013-05-24
1700126588 Margaret Lee Zingman Psychologist 204 W 8th St, Chandler, OK 74834-2604 2013-02-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City SHAWNEE
Zip Code 74801

Improve Information

Please comment or provide details below to improve the information on DR. LATISHA LYNN BADER.

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.

Trending Searches