Provider Demographics
NPI:1801069299
Name:JANET M. SPRADLIN, PH.D. PC
Entity type:Organization
Organization Name:JANET M. SPRADLIN, PH.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPRADLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-272-6554
Mailing Address - Street 1:23301 BOB WHITE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73025-9443
Mailing Address - Country:US
Mailing Address - Phone:405-272-6554
Mailing Address - Fax:405-231-8759
Practice Address - Street 1:1000 N LEE AVE # 6188
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1036
Practice Address - Country:US
Practice Address - Phone:405-272-6554
Practice Address - Fax:405-231-8759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK674282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital