Provider Demographics
NPI:1720203540
Name:DRIVER, OCIE ANN (QMHP)
Entity Type:Individual
Prefix:MISS
First Name:OCIE
Middle Name:ANN
Last Name:DRIVER
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 POLARIS APT 3010
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038
Mailing Address - Country:US
Mailing Address - Phone:214-333-7000
Mailing Address - Fax:214-331-1072
Practice Address - Street 1:1353 WESTMORELAND
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75112
Practice Address - Country:US
Practice Address - Phone:214-333-7002
Practice Address - Fax:214-331-1072
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker