Individual
ELIZABETH BELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED SPECIAL ED
Contact information
Practice address
129 S 175TH WEST AVE, SAND SPRINGS, OK 74063-5214
(512) 599-0197
Mailing address
3963 S HIGHWAY 97 # 203, SAND SPRINGS, OK 74063-3829
(512) 599-0197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
443606
OK
174H00000X
Health Educator
443606
OK
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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