Basic Information
Provider Information
NPI: 1427363894
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRINGLE
FirstName: AMY
MiddleName: N.
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Mailing Information
Address1: 210 E. MAIN
Address2: RESOURCE MANAGEMENT
City: ADA
State: OK
PostalCode: 74820
CountryCode: US
TelephoneNumber: 5804367211
FaxNumber: 5802725757
Practice Location
Address1: OUTPATIENT SERVICES-NORMAN;3200 MARSHALL AVE, SUITE 220
Address2: STRONG FAMILY DEVELOPMENT
City: NORMAN
State: OK
PostalCode: 73072
CountryCode: US
TelephoneNumber: 4057678940
FaxNumber: 4057678949
Other Information
ProviderEnumerationDate: 08/10/2010
LastUpdateDate: 11/17/2016
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
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IsSoleProprietor: Y
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X  Y Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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