Provider Demographics
NPI:1063719888
Name:ZARAGOZA, WENDY KAY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:KAY
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 POINTE PARKWAY BLVD
Mailing Address - Street 2:SUITE 1232
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0602
Mailing Address - Country:US
Mailing Address - Phone:405-422-8821
Mailing Address - Fax:405-262-1331
Practice Address - Street 1:7777 E US HIGHWAY 66
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-9125
Practice Address - Country:US
Practice Address - Phone:405-388-2133
Practice Address - Fax:405-262-1331
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor