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MISS KENI DEATHERAGE BA, BHRS
NPI 1962787580
Psychologist - Rehabilitation in Heavener, OK

Active since October 14, 2011
1005 CORONET CIR, HEAVENER, OK 74937(479) 462-9818 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Keni Deatherage Ba, Bhrs NPPES

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

MISS KENI DEATHERAGE BA, BHRS (NPI 1962787580) is an individual rehabilitation provider in Heavener, Oklahoma and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1962787580
Entity TypeIndividualFemale
Primary Taxonomy103TR0400X
Provider Legal NameMISS KENI DEATHERAGECredential: BA, BHRS
Location Address1005 CORONET CIRHeavener, OK 74937-3806
Mailing Address1005 Coronet CirHeavener, OK 74937-3806 · (479) 462-9818
Phone(479) 462-9818
Sole ProprietorYes
Enumeration DateOctober 14, 2011
✔ NPI 1962787580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
1005 CORONET CIR, Heavener, OK 74937
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keni Deatherage's NPI number?

The NPI number for Keni Deatherage is 1962787580. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Keni Deatherage located?

Keni Deatherage practices at 1005 Coronet Cir, Heavener, OK 74937. The listed phone number is (479) 462-9818.

What is Keni Deatherage's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for Keni Deatherage was last updated on October 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.