Individual
CINDY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOMETRIST
Contact information
Practice address
1910 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5437
(918) 458-5757
Mailing address
1910 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5437
(918) 458-5757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6SSR5YQD4
—
OK
Enumeration date
05/12/2011
Last updated
04/11/2012
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