Most Relevant Information
Provider Data
| NPI Number: | 1003699042 |
| Provider Name: | SOMMER TAYLOR BERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
4436 NW 50TH ST
OKLAHOMA CITY
OK
731122212
Practice Location Phone/Fax
| Phone: | 4058582700 |
| Fax: |
Provider Mailing Location
PO BOX 12978
OKLAHOMA CITY
OK
731572978
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |