Provider Demographics
NPI:1467882035
Name:PRICE, LEAH JOY (BSW)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:JOY
Last Name:PRICE
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-4244
Mailing Address - Country:US
Mailing Address - Phone:405-527-9562
Mailing Address - Fax:
Practice Address - Street 1:15151 HIGHWAY 39
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:OK
Practice Address - Zip Code:73051-0260
Practice Address - Country:US
Practice Address - Phone:405-205-4767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker