NPI 1063515690 · live from the CMS NPI Registry
Doris Jane Chediak, MSW
Marriage & Family Therapist in Oklahoma City, OK. National Provider Identifier 1063515690, active.
NPI record
| NPI | 1063515690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3037 Nw 63rd Street, Suite 100w, Oklahoma City, OK 73116 |
| Practice phone | 405-843-3800 |
| Enumerated | September 7, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 183 (OK) |
| Marriage & Family Therapist primary | 106H00000X | 008 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.