Provider Demographics
NPI:1669917183
Name:WHIPKEY, SARAH RUTH (BS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RUTH
Last Name:WHIPKEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RUTH
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:17467 COUNTY ROAD 1510
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-4924
Mailing Address - Country:US
Mailing Address - Phone:580-235-6630
Mailing Address - Fax:
Practice Address - Street 1:17467 COUNTY ROAD 1510
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-235-6630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst