Provider Demographics
NPI:1619309663
Name:HARKEY, ANGELA D (BHRS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:D
Last Name:HARKEY
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S BROADWAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3848
Mailing Address - Country:US
Mailing Address - Phone:405-537-1486
Mailing Address - Fax:
Practice Address - Street 1:400 S BROADWAY
Practice Address - Street 2:SUITE 3
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3848
Practice Address - Country:US
Practice Address - Phone:405-537-1486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst