Provider Demographics
NPI:1508017880
Name:CAMP, CATHERINE P (CPRSS,CM)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:P
Last Name:CAMP
Suffix:
Gender:F
Credentials:CPRSS,CM
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:P
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPRSS,CM
Mailing Address - Street 1:1804 AIKEN CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2202
Mailing Address - Country:US
Mailing Address - Phone:405-625-1944
Mailing Address - Fax:
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:405-573-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator