Provider Demographics
NPI:1134545916
Name:ECHEVERRIA, YOLANDA (BSW)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:ECHEVERRIA
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:614 1/2 W OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960-2839
Mailing Address - Country:US
Mailing Address - Phone:918-696-2181
Mailing Address - Fax:918-696-2182
Practice Address - Street 1:614 1/2 W OLIVE ST
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-2839
Practice Address - Country:US
Practice Address - Phone:918-696-2181
Practice Address - Fax:918-696-2182
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker