Provider Demographics
NPI:1174290431
Name:DENI FOUGHTY, PH.D., PLLC
Entity Type:Organization
Organization Name:DENI FOUGHTY, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUGHTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-922-1518
Mailing Address - Street 1:1009 SILVER MAPLE
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-8343
Mailing Address - Country:US
Mailing Address - Phone:405-922-1518
Mailing Address - Fax:
Practice Address - Street 1:3035 NW 63RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3632
Practice Address - Country:US
Practice Address - Phone:405-242-6460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty