Search › Oklahoma › 171M00000X
Deaysha Bolden
NPI 1720751506 · on the registry since 2021
Practice
- Address
- 301 W I 240 Service Rd
Oklahoma City, OK 73139 - Phone
- (405) 635-3853
- Fax
- (405) 604-9689
- Organisation at this address
- Jordan'S Crossing Inc
Oklahoma Mental Health Council
Oklahoma Mental Health CouncilInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma