Search › Oklahoma › 101YP2500X
Shannon Dreadfulwater, LPC
NPI 1689987059 · on the registry since 2010 · sole proprietor
Practice
- Address
- 315 N College Ave
Tahlequah, OK 74464 - Phone
- (918) 453-1171
- Organisation at this address
- Melinda Shaver, Psy.D.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 1140 Mayberry Dr, Tahlequah, OK
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma