Provider Demographics
NPI:1184918138
Name:TORREY, MONICA ARLENE
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ARLENE
Last Name:TORREY
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 1:1531 E FARRALL
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-8100
Mailing Address - Country:US
Mailing Address - Phone:907-841-7098
Mailing Address - Fax:
Practice Address - Street 1:1531 E FARRALL
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-8100
Practice Address - Country:US
Practice Address - Phone:907-841-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst