Provider Demographics
NPI:1407047871
Name:PAGE, EVAREN ELIZABETH MARY (BA, CM, PSRS)
Entity Type:Individual
Prefix:MRS
First Name:EVAREN
Middle Name:ELIZABETH MARY
Last Name:PAGE
Suffix:
Gender:F
Credentials:BA, CM, PSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-0400
Mailing Address - Country:US
Mailing Address - Phone:405-573-3971
Mailing Address - Fax:405-573-8245
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-573-3971
Practice Address - Fax:405-573-8245
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor