Provider Demographics
NPI:1790911147
Name:OSMANSKI, CAROLYN DAWN
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:DAWN
Last Name:OSMANSKI
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 1:415 S GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-5510
Mailing Address - Country:US
Mailing Address - Phone:435-272-7437
Mailing Address - Fax:
Practice Address - Street 1:260 W SAINT GEORGE BLVD
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3727
Practice Address - Country:US
Practice Address - Phone:435-673-2822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health