Provider Demographics
NPI:1851547228
Name:TURNER, JUDITH KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KAY
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:KAY
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1913 W MEMPHIS ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-4823
Mailing Address - Country:US
Mailing Address - Phone:918-691-6063
Mailing Address - Fax:918-872-9296
Practice Address - Street 1:1913 W MEMPHIS ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4823
Practice Address - Country:US
Practice Address - Phone:918-691-6063
Practice Address - Fax:918-872-9296
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical