Provider Demographics
NPI:1891339396
Name:SHEEHY, TODD KEVIN (MBA, BC-HIS)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:KEVIN
Last Name:SHEEHY
Suffix:
Gender:M
Credentials:MBA, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 CULBERTSON DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-8412
Mailing Address - Country:US
Mailing Address - Phone:405-225-1345
Mailing Address - Fax:
Practice Address - Street 1:734 CULBERTSON DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-8412
Practice Address - Country:US
Practice Address - Phone:405-225-1345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1013237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist