Provider Demographics
NPI:1225374440
Name:CARMANS, CODY L (BS, MA)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:L
Last Name:CARMANS
Suffix:
Gender:M
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 S WESTERN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-4520
Mailing Address - Country:US
Mailing Address - Phone:972-571-1805
Mailing Address - Fax:405-255-7326
Practice Address - Street 1:5350 S WESTERN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-4520
Practice Address - Country:US
Practice Address - Phone:972-571-1805
Practice Address - Fax:405-255-7326
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-15
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor