Provider Demographics
NPI:1639379332
Name:TOWNSY-COOPER, MARINDA KAY (MS)
Entity Type:Individual
Prefix:
First Name:MARINDA
Middle Name:KAY
Last Name:TOWNSY-COOPER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:RANDY
Other - Middle Name:KAY
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:4300 S HARVARD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2608
Mailing Address - Country:US
Mailing Address - Phone:918-585-3163
Mailing Address - Fax:918-744-4432
Practice Address - Street 1:424 E HOBSON AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-3504
Practice Address - Country:US
Practice Address - Phone:918-224-9290
Practice Address - Fax:918-248-7140
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health