Provider Demographics
NPI:1922743079
Name:BRECHEEN, BARBARA DANIELLE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:DANIELLE
Last Name:BRECHEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:BOUGH-DAVID
Other - Last Name:BRECHEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:37368 COUNTY ROAD 1740
Mailing Address - Street 2:
Mailing Address - City:COALGATE
Mailing Address - State:OK
Mailing Address - Zip Code:74538-5087
Mailing Address - Country:US
Mailing Address - Phone:580-320-5181
Mailing Address - Fax:
Practice Address - Street 1:1308 CRADDUCK RD
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-8442
Practice Address - Country:US
Practice Address - Phone:580-320-5181
Practice Address - Fax:580-332-8803
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator