Provider Demographics
NPI:1598046476
Name:HEFLEY, PAULA J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:J
Last Name:HEFLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OK
Mailing Address - Zip Code:73448-0329
Mailing Address - Country:US
Mailing Address - Phone:580-276-0178
Mailing Address - Fax:
Practice Address - Street 1:3816 SHADOWRIDGE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-5308
Practice Address - Country:US
Practice Address - Phone:405-623-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical