1962118950 NPI number — MRS. WHITNEY LAYNE EDENS SCHNEEBERGER LPC

Table of content: MRS. WHITNEY LAYNE EDENS SCHNEEBERGER LPC (NPI 1962118950)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962118950 NPI number — MRS. WHITNEY LAYNE EDENS SCHNEEBERGER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EDENS SCHNEEBERGER
Provider First Name:
WHITNEY
Provider Middle Name:
LAYNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962118950
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PAYNE COUNTY CIMMARON CLINIC
Provider Second Line Business Mailing Address:
1624 CIMMARON PLAZA
Provider Business Mailing Address City Name:
STILLWATER
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74075
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-372-2202
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PAYNE COUNTY CIMMARON CLINIC
Provider Second Line Business Practice Location Address:
1624 CIMMARON PLAZA
Provider Business Practice Location Address City Name:
STILLWATER
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-372-2202
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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