Provider Demographics
NPI:1972824845
Name:UWUDIA, DORA OLOGWARO (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DORA
Middle Name:OLOGWARO
Last Name:UWUDIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 N PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8886
Mailing Address - Country:US
Mailing Address - Phone:405-753-4269
Mailing Address - Fax:405-753-4270
Practice Address - Street 1:5005 N PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8886
Practice Address - Country:US
Practice Address - Phone:405-753-4269
Practice Address - Fax:405-753-4270
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health