Provider Demographics
NPI:1568851756
Name:DOOLEY, DAYEN ANN
Entity Type:Individual
Prefix:
First Name:DAYEN
Middle Name:ANN
Last Name:DOOLEY
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 1:3128 S 101ST EAST AVE # 1402
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-1437
Mailing Address - Country:US
Mailing Address - Phone:918-619-7694
Mailing Address - Fax:918-224-9309
Practice Address - Street 1:1943 S WATER ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-6532
Practice Address - Country:US
Practice Address - Phone:918-224-9307
Practice Address - Fax:918-224-9309
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker