Provider Demographics
NPI:1043652050
Name:MCCLARTY, ISCES FRANCHESKA
Entity Type:Individual
Prefix:
First Name:ISCES
Middle Name:FRANCHESKA
Last Name:MCCLARTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10901 ROCHDALE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7624
Mailing Address - Country:US
Mailing Address - Phone:405-819-6543
Mailing Address - Fax:
Practice Address - Street 1:10901 ROCHDALE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7624
Practice Address - Country:US
Practice Address - Phone:405-819-6543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health