Individual
AMY NOHELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MS
Contact information
Practice address
210 HORSE SHOE LN, MCALESTER, OK 74501-5189
(918) 429-9467
Mailing address
210 HORSE SHOE LN, MCALESTER, OK 74501-5189
(918) 429-9467
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200305190B
—
OK
Enumeration date
01/23/2012
Last updated
01/23/2012
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