Provider Demographics
NPI:1811234727
Name:TURNER, HILDA A
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:A
Last Name:TURNER
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 1:15801 ALLEGHENY DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8831
Mailing Address - Country:US
Mailing Address - Phone:405-209-8042
Mailing Address - Fax:
Practice Address - Street 1:15801 ALLEGHENY DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8831
Practice Address - Country:US
Practice Address - Phone:405-209-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK103K00000KMedicaid