Crystal Denae Timms
Peer Specialist in Norman, OK. Individual provider (NPI-1).
NPI number1669979423
StatusActive
Last updated in NPPESApr 9, 2018
Details
- NPI
- 1669979423
- Entity type
- Individual (NPI-1)
- Name
- Crystal Denae Timms
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2018
- Last updated
- Apr 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
109 Skylane DrNorman, OK 73071-7930
Phone 405-613-2078
Mailing address
109 Skylane DrNorman, OK 73071-7930
Phone 405-402-9119
Other practice locations
109 Skylane Dr
Norman, OK 73071-7930
Norman, OK 73071-7930
Phone 405-402-9119
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