Provider Demographics
NPI:1649700485
Name:DRUMM, CARMON MARIE (MED)
Entity type:Individual
Prefix:
First Name:CARMON
Middle Name:MARIE
Last Name:DRUMM
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 COLLIER DR STE 600
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5279
Mailing Address - Country:US
Mailing Address - Phone:405-928-5996
Mailing Address - Fax:
Practice Address - Street 1:121 COLLIER DR STE 600
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5279
Practice Address - Country:US
Practice Address - Phone:405-928-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health