Provider Demographics
NPI:1306177274
Name:CLANTON, ANGELNETTE R
Entity type:Individual
Prefix:MS
First Name:ANGELNETTE
Middle Name:R
Last Name:CLANTON
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 1:310 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-5238
Mailing Address - Country:US
Mailing Address - Phone:405-217-8400
Mailing Address - Fax:405-217-8405
Practice Address - Street 1:310 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5238
Practice Address - Country:US
Practice Address - Phone:405-217-8400
Practice Address - Fax:405-217-8405
Is Sole Proprietor?:No
Enumeration Date:2010-01-16
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health