Provider Demographics
NPI:1740413376
Name:RASP, STEPHANIE K (MCP, LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:RASP
Suffix:
Gender:F
Credentials:MCP, LPC
Other - Prefix:
Other - First Name:TIPPI
Other - Middle Name:
Other - Last Name:RASP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MCP, LPC CANDIDATE
Mailing Address - Street 1:1818 NAVAJO PLACE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703
Mailing Address - Country:US
Mailing Address - Phone:580-233-4581
Mailing Address - Fax:
Practice Address - Street 1:605 W OXFORD AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-1208
Practice Address - Country:US
Practice Address - Phone:580-233-7220
Practice Address - Fax:580-237-7550
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health