SHAWN WALL NPI 1649691908

NPI Information

  • NPI: 1649691908
  • Provider Name: SHAWN WALL
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 68470 S 315 RD
    WAGONER, OK
    ZIP 74467
  • Phone: (918) 729-9397

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NPI Details

Shawn Wall is an addiction (substance use disorder) counselor in Wagoner, OK. Shawn Wall NPI is 1649691908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

68470 S 315 RD
WAGONER, OK
ZIP 74467-292
Phone: (918) 729-9397
Fax: (918) 482-5136

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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