Individual
SHAYLA NEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 LEXINGTON ST, LOT 15, NORMAN, OK 73069-8903
(405) 719-7703
Mailing address
800 LEXINTON STREET, TRLR #15, NORMAN, OK 73069
(405) 719-7703
(405) 949-3690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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