Provider Demographics
NPI:1457636862
Name:BILLING, SHARON LOUISE
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LOUISE
Last Name:BILLING
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 1:2525 N.W. EXPREEWAY, SUITE 624
Mailing Address - Street 2:SUITE 624
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73112
Mailing Address - Country:US
Mailing Address - Phone:405-242-5070
Mailing Address - Fax:
Practice Address - Street 1:519 W PERRY DR
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-3530
Practice Address - Country:US
Practice Address - Phone:405-376-4930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst