Provider Demographics
NPI:1447519863
Name:RHINEHART, JOYANNA LYNN (BHRS)
Entity type:Individual
Prefix:MS
First Name:JOYANNA
Middle Name:LYNN
Last Name:RHINEHART
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:LYNN
Other - Last Name:RHINEHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BHRS
Mailing Address - Street 1:514 S WORTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-5331
Mailing Address - Country:US
Mailing Address - Phone:918-902-8650
Mailing Address - Fax:
Practice Address - Street 1:514 S WORTMAN AVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-5331
Practice Address - Country:US
Practice Address - Phone:918-902-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK103K50X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst