Provider Demographics
NPI:1841672946
Name:SIFFORD, STEPHANIE ALEXIS
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALEXIS
Last Name:SIFFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ALEXIS
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7315 LYREWOOD LN
Mailing Address - Street 2:#576
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-6372
Mailing Address - Country:US
Mailing Address - Phone:405-204-9407
Mailing Address - Fax:
Practice Address - Street 1:7315 LYREWOOD LN
Practice Address - Street 2:#576
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-6372
Practice Address - Country:US
Practice Address - Phone:405-204-9407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor