Provider Demographics
NPI:1063764058
Name:PINDER, LATONYA
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:PINDER
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 1:1346 N WACO AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-3012
Mailing Address - Country:US
Mailing Address - Phone:918-850-9224
Mailing Address - Fax:707-373-7797
Practice Address - Street 1:4800 S YUKON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-7746
Practice Address - Country:US
Practice Address - Phone:918-850-9224
Practice Address - Fax:707-313-7797
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst