Provider Demographics
NPI:1003808031
Name:MCBEE, AUSTIN JOHN (EDD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:JOHN
Last Name:MCBEE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 PERIMETER CENTER DR
Mailing Address - Street 2:SUITE 245
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2324
Mailing Address - Country:US
Mailing Address - Phone:405-947-7554
Mailing Address - Fax:405-947-7607
Practice Address - Street 1:4200 PERIMETER CENTER DR
Practice Address - Street 2:SUITE 245
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2324
Practice Address - Country:US
Practice Address - Phone:405-947-7554
Practice Address - Fax:405-947-7607
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK424101YP2500X
OK670106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
393704OtherVALUE OPTIONS
OK5350314OtherAETNA US HEALTCARE ID
114586OtherMANAGED HEALTH NET ID