Provider Demographics
NPI:1841229440
Name:STOVER, ARLETA SPYCE (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:ARLETA SPYCE
Middle Name:
Last Name:STOVER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6217 W GORE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5836
Mailing Address - Country:US
Mailing Address - Phone:580-536-5102
Mailing Address - Fax:580-536-5102
Practice Address - Street 1:6217 W GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5836
Practice Address - Country:US
Practice Address - Phone:580-536-5102
Practice Address - Fax:580-536-5102
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3569101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional