Provider Demographics
NPI:1861833840
Name:GILLESPIE, SUGAR ELZETTA ELIZABETH (PHD, LPC, MS)
Entity type:Individual
Prefix:
First Name:SUGAR
Middle Name:ELZETTA ELIZABETH
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:PHD, LPC, MS
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3000 UNITED FOUNDERS BLVD STE 139P
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4361
Mailing Address - Country:US
Mailing Address - Phone:405-977-9671
Mailing Address - Fax:405-518-8007
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD STE 139P
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4361
Practice Address - Country:US
Practice Address - Phone:405-977-9671
Practice Address - Fax:405-518-8007
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst