Provider Demographics
NPI:1285882902
Name:VILLAR, MARIA D
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:VILLAR
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 1:701 W SHERIDAN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-2402
Mailing Address - Country:US
Mailing Address - Phone:405-256-8908
Mailing Address - Fax:866-777-7906
Practice Address - Street 1:701 W SHERIDAN AVE STE 304
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-2402
Practice Address - Country:US
Practice Address - Phone:405-256-8908
Practice Address - Fax:866-777-7906
Is Sole Proprietor?:No
Enumeration Date:2008-09-06
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6612101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional