Madison Deshazer

NPI 1750164216 · on the registry since 2023

Practice

Address: 604 S Walnut St
Stillwater, OK 74074
Phone: (844) 458-2100
Organisation at this address: Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 147

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-13

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