Provider Demographics
NPI:1669826889
Name:ONYEMACHI, ROSELINE NGOZI
Entity Type:Individual
Prefix:
First Name:ROSELINE
Middle Name:NGOZI
Last Name:ONYEMACHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 LANCE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4031
Mailing Address - Country:US
Mailing Address - Phone:405-417-2699
Mailing Address - Fax:405-895-7544
Practice Address - Street 1:9210 S WESTERN AVE
Practice Address - Street 2:STE A-21
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-4982
Practice Address - Country:US
Practice Address - Phone:405-417-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor