Provider Demographics
NPI:1326333162
Name:NAYLOR, SUSAN F
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:F
Last Name:NAYLOR
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 1:6909 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3314
Mailing Address - Country:US
Mailing Address - Phone:405-440-0460
Mailing Address - Fax:
Practice Address - Street 1:3621 N. KELLEY AVE., SUITE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY,
Practice Address - State:OK
Practice Address - Zip Code:73008
Practice Address - Country:US
Practice Address - Phone:405-524-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)