Provider Demographics
NPI:1548606155
Name:NEASBITT, OSIE ALINE
Entity Type:Individual
Prefix:
First Name:OSIE
Middle Name:ALINE
Last Name:NEASBITT
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 1:2428 3RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-8121
Mailing Address - Country:US
Mailing Address - Phone:580-224-7912
Mailing Address - Fax:
Practice Address - Street 1:2428 3RD NE
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-8121
Practice Address - Country:US
Practice Address - Phone:580-224-7912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor