Provider Demographics
NPI:1689995763
Name:OLADIPO, MICHAEL OLUWASANMI (MHR, LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:OLUWASANMI
Last Name:OLADIPO
Suffix:
Gender:M
Credentials:MHR, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 VALLEY HOLW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3678
Mailing Address - Country:US
Mailing Address - Phone:405-310-3434
Mailing Address - Fax:405-310-3434
Practice Address - Street 1:2212 VALLEY HOLW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-3678
Practice Address - Country:US
Practice Address - Phone:405-310-3434
Practice Address - Fax:405-310-3434
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC NO. 4373101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health