Provider Demographics
NPI:1619389376
Name:INMAN, ROBI J
Entity Type:Individual
Prefix:MISS
First Name:ROBI
Middle Name:J
Last Name:INMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ROBI
Other - Middle Name:JO
Other - Last Name:TREAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:KETCHUM
Mailing Address - State:OK
Mailing Address - Zip Code:74349-0636
Mailing Address - Country:US
Mailing Address - Phone:918-782-7868
Mailing Address - Fax:
Practice Address - Street 1:33500 S 4480 RD
Practice Address - Street 2:
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301-6958
Practice Address - Country:US
Practice Address - Phone:918-782-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health