Provider Demographics
NPI:1871810101
Name:O'NESKY, MARLA (MED)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:
Last Name:O'NESKY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:THOMAS
Mailing Address - State:OK
Mailing Address - Zip Code:73669-8127
Mailing Address - Country:US
Mailing Address - Phone:580-661-2091
Mailing Address - Fax:580-661-2091
Practice Address - Street 1:703 FRISCO AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3320
Practice Address - Country:US
Practice Address - Phone:580-323-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation