Provider / Organization | NPI | Date Certified |
---|---|---|
SANDTEE MAY YOUNG | 1487206082 | 2021-07-12 |
Sandtee May Young is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487206082. Registration indicates Sandtee May Young is a provider of services with a specialization in Other Service Providers, Peer Specialist (Peer Specialist, Other Service Providers) (Peer Specialist, )
Entity Type | Individual |
Provider Name | Sandtee May Young |
Other Provider Name | Sandtee May Dockery |
Practice Office Address | 109 N FAIRLAND ST PRYOR, OK US |
Practice Office Telephone | 9188251405 |
Practice Office Fax | 9188251406 |
Mailing Address | 109 N FAIRLAND ST PRYOR, OK 743614203 US |
Business Telephone | 9188251405 |
Business Fax | 9188251406 |
Code | Practice | License No State |
---|---|---|
175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist |