Individual
MS. SYDNEY NATOSHA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, RPT-S
Contact information
Practice address
631 E. COURT ST., ATOKA, OK 74525
(580) 889-0960
Mailing address
P.O. BOX 51, ATOKA, OK 74525
(580) 889-0960
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
4514
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4514
LCSW
OK
Enumeration date
08/25/2008
Last updated
06/21/2018
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