Provider Demographics
NPI:1417455122
Name:HAYMAKER, NATALIE BIDDINGER (LCSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:BIDDINGER
Last Name:HAYMAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 HUNTLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2503
Mailing Address - Country:US
Mailing Address - Phone:405-921-7988
Mailing Address - Fax:
Practice Address - Street 1:2924 HUNTLEIGH DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2503
Practice Address - Country:US
Practice Address - Phone:405-921-7988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical