Provider Demographics
NPI:1669466140
Name:MCALPIN, MICHELLE ELIZABETH (MS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:MCALPIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 NW EXPRESSWAY STE 410W
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7225
Mailing Address - Country:US
Mailing Address - Phone:405-755-8576
Mailing Address - Fax:405-755-6026
Practice Address - Street 1:2601 NW EXPRESSWAY STE 410W
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7225
Practice Address - Country:US
Practice Address - Phone:405-755-8576
Practice Address - Fax:405-755-6026
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007506101YM0800X
OK6776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB40132Medicare ID - Type Unspecified