Provider Demographics
NPI:1043832678
Name:DUPUY, NATALEE KATHERINE LYNN
Entity type:Individual
Prefix:
First Name:NATALEE
Middle Name:KATHERINE LYNN
Last Name:DUPUY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 E LINKS BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-5048
Mailing Address - Country:US
Mailing Address - Phone:918-894-3142
Mailing Address - Fax:
Practice Address - Street 1:201 W 5TH ST STE 505
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-4277
Practice Address - Country:US
Practice Address - Phone:918-295-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health