Provider Demographics
NPI:1992200778
Name:FORSTER, BONNIE SHEA
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:SHEA
Last Name:FORSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 OVERTON DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3227
Mailing Address - Country:US
Mailing Address - Phone:405-928-8004
Mailing Address - Fax:
Practice Address - Street 1:302 OVERTON DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-3227
Practice Address - Country:US
Practice Address - Phone:918-257-9646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker