Provider Demographics
NPI:1760599591
Name:O'BANYE, CHRISTOPHER U (PHD, CLINICAL PSYCHO)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:U
Last Name:O'BANYE
Suffix:
Gender:M
Credentials:PHD, CLINICAL PSYCHO
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:U
Other - Last Name:O'BANYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 891501
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73189-1501
Mailing Address - Country:US
Mailing Address - Phone:405-550-2064
Mailing Address - Fax:
Practice Address - Street 1:320 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5238
Practice Address - Country:US
Practice Address - Phone:405-573-3832
Practice Address - Fax:405-573-3804
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YA0400X
OKN/A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical