Provider Demographics
NPI:1750170445
Name:YOUNT, PERI (CPED)
Entity type:Individual
Prefix:MISS
First Name:PERI
Middle Name:
Last Name:YOUNT
Suffix:
Gender:
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 S YALE AVE STE 909
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8310
Mailing Address - Country:US
Mailing Address - Phone:918-502-5975
Mailing Address - Fax:918-502-5980
Practice Address - Street 1:6565 S YALE AVE STE 909
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8310
Practice Address - Country:US
Practice Address - Phone:918-502-5975
Practice Address - Fax:918-502-5980
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACPED4867224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist