DR. SARAH MILLER COATS PH.D.
Clinical Neuropsychologist
Enid, Oklahoma
Provider NPI: 1851308001
Provider Information:DR. SARAH MILLER COATS PH.D.
Gender: F
Sole Proprietor
Practice Location:
330 S 5TH ST STE 202 ENID, OK 73701 US
Tel: 580-249-9366 Fax: 580-249-5536
Business Mailing Address:
PO BOX 3771 ENID, OK 73702 US
Tel: 580-478-5543 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | OK | 1024 |
N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | OK | 1024 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PTAN | 236719702 | OK | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin