Provider Demographics
NPI:1821325218
Name:PAYLOR, LINDA LAIRD (CMA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LAIRD
Last Name:PAYLOR
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20163 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74108-8109
Mailing Address - Country:US
Mailing Address - Phone:918-798-9933
Mailing Address - Fax:918-355-7929
Practice Address - Street 1:4528 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1140
Practice Address - Country:US
Practice Address - Phone:918-398-7979
Practice Address - Fax:918-619-6851
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)