What is Shanda Vidal's NPI number?

The NPI number assigned to this healthcare provider is 1164839270, enumerated as a individual on July 21, 2014.

Where is the provider located?

The provider is located at 4436 NW 50TH ST OKLAHOMA CITY, OK 73112 and the phone number is (405) 858-2700.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

SHANDA NOEL VIDAL - NPI 1164839270 - Counselor in Oklahoma City, OK

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About Shanda Noel Vidal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDA NOEL VIDAL (NPI 1164839270) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1164839270

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHANDA NOEL VIDAL

Location Address4436 NW 50TH STOklahoma City, OK 73112-2212

Mailing Address4436 Nw 50th StOklahoma City, OK 73112-2212

Phone(405) 858-2700

Sole ProprietorNo

Enumeration DateJuly 21, 2014

✔ NPI 1164839270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4436 NW 50TH ST, Oklahoma City, OK 73112

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