Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KENI DEATHERAGE, BA, BHRS
Active Sole ProprietorMISS KENI DEATHERAGE, BA, BHRS is a Rehabilitation Psychologist healthcare provider located in HEAVENER, Oklahoma. NPI 1962787580 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Psychologist · HEAVENER, OK
Registration Details
- NPI Number
- 1962787580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2011 (14.861554859307 yrs)
- Last Updated
- Oct 14, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1005 CORONET CIRHEAVENER, OK, 749373806Browse OK providers · Browse ZIP 74937
- Phone
- 4794629818
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.