Provider Demographics
NPI:1336515840
Name:ADEOYE, VICTORIA OSAGIE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:OSAGIE
Last Name:ADEOYE
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 1:2400 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-1330
Mailing Address - Country:US
Mailing Address - Phone:405-824-6456
Mailing Address - Fax:
Practice Address - Street 1:2400 SHORELINE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73026-1330
Practice Address - Country:US
Practice Address - Phone:405-824-6456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health