Provider Demographics
NPI:1851641070
Name:STEPENY, DONTA J
Entity Type:Individual
Prefix:MR
First Name:DONTA
Middle Name:J
Last Name:STEPENY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 REV J A REED JR AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117
Mailing Address - Country:US
Mailing Address - Phone:405-532-4458
Mailing Address - Fax:
Practice Address - Street 1:1212 S AIR DEPOT BLVD
Practice Address - Street 2:19 B
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-4870
Practice Address - Country:US
Practice Address - Phone:405-455-7244
Practice Address - Fax:405-455-7292
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health