Provider Demographics
NPI:1366726218
Name:CHATMAN, CHERI A
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:A
Last Name:CHATMAN
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 1:8011 S WHEELING AVE
Mailing Address - Street 2:#O
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5229
Mailing Address - Country:US
Mailing Address - Phone:918-493-6467
Mailing Address - Fax:
Practice Address - Street 1:8011 S WHEELING AVE
Practice Address - Street 2:#O
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5229
Practice Address - Country:US
Practice Address - Phone:918-493-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor