Provider Demographics
NPI:1740616630
Name:EATON, HOPE ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:ELIZABETH
Last Name:EATON
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 1:531 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-4911
Mailing Address - Country:US
Mailing Address - Phone:405-209-6135
Mailing Address - Fax:
Practice Address - Street 1:531 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-4911
Practice Address - Country:US
Practice Address - Phone:405-209-6135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker