Provider Demographics
NPI:1710029418
Name:ROBBINS-VAN METER, MARY RUTH (LPC LICENSED PROFESS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:RUTH
Last Name:ROBBINS-VAN METER
Suffix:
Gender:F
Credentials:LPC LICENSED PROFESS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 N CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7210
Mailing Address - Country:US
Mailing Address - Phone:405-206-9489
Mailing Address - Fax:
Practice Address - Street 1:6900 N CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7210
Practice Address - Country:US
Practice Address - Phone:405-206-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK945101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor