Provider Demographics
NPI:1407958937
Name:MCALISTER, MARSHA A (LPC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:MCALISTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 NW 119TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-7817
Mailing Address - Country:US
Mailing Address - Phone:405-752-9295
Mailing Address - Fax:405-752-8743
Practice Address - Street 1:3200 E. MEMORIAL RD STE 420
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-7103
Practice Address - Country:US
Practice Address - Phone:405-478-8082
Practice Address - Fax:405-752-8743
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health