Provider Demographics
NPI:1952764524
Name:INGMIRE, LINSY REBECCA (M ED)
Entity type:Individual
Prefix:MRS
First Name:LINSY
Middle Name:REBECCA
Last Name:INGMIRE
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36545 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-5231
Mailing Address - Country:US
Mailing Address - Phone:405-830-2019
Mailing Address - Fax:
Practice Address - Street 1:36545 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:OK
Practice Address - Zip Code:74873-5231
Practice Address - Country:US
Practice Address - Phone:405-830-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool