Provider Demographics
NPI:1457524159
Name:FROST, AMI MARIKO HOOD (LAMFT)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:MARIKO HOOD
Last Name:FROST
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3780
Mailing Address - Country:US
Mailing Address - Phone:801-358-2142
Mailing Address - Fax:
Practice Address - Street 1:1601 MEDICAL CENTER DR STE 7
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6359
Practice Address - Country:US
Practice Address - Phone:405-285-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT69193243904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist