Provider Demographics
NPI:1699888149
Name:SAWYER, DEANN CAROL (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:DEANN
Middle Name:CAROL
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22475 E 1000 RD
Mailing Address - Street 2:
Mailing Address - City:ARAPAHO
Mailing Address - State:OK
Mailing Address - Zip Code:73620-9414
Mailing Address - Country:US
Mailing Address - Phone:580-323-3621
Mailing Address - Fax:
Practice Address - Street 1:703 FRISCO AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3320
Practice Address - Country:US
Practice Address - Phone:580-323-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8975101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor