Provider Demographics
NPI:1013094408
Name:ATOYOSOYE, MICHAEL O
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:O
Last Name:ATOYOSOYE
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 1:2709 VERONA CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6797
Mailing Address - Country:US
Mailing Address - Phone:405-474-6628
Mailing Address - Fax:405-604-5344
Practice Address - Street 1:6801 S WESTERN AVE STE 206
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1816
Practice Address - Country:US
Practice Address - Phone:405-604-5344
Practice Address - Fax:405-604-5345
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health