Provider Demographics
NPI:1518918630
Name:OWENS-BECKHAM, CECILIA ELAINE (MSSW)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:ELAINE
Last Name:OWENS-BECKHAM
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:MS
Other - First Name:CECILIA
Other - Middle Name:ELAINE
Other - Last Name:BECKHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSSW
Mailing Address - Street 1:11400 CONDOR TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2735
Mailing Address - Country:US
Mailing Address - Phone:405-728-2768
Mailing Address - Fax:405-840-3793
Practice Address - Street 1:11400 CONDOR TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-2735
Practice Address - Country:US
Practice Address - Phone:405-728-2768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical