Provider Demographics
NPI:1598087256
Name:KAMM, HEIDI J H (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:J H
Last Name:KAMM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W MAIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6824
Mailing Address - Country:US
Mailing Address - Phone:405-292-1000
Mailing Address - Fax:405-801-2506
Practice Address - Street 1:1225 W MAIN ST
Practice Address - Street 2:STE 102
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6824
Practice Address - Country:US
Practice Address - Phone:405-292-1000
Practice Address - Fax:405-801-2506
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1077103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist