MCKENZIE, SHEA MARIE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

MCKENZIE, SHEA MARIE

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	CEDAR RIDGE BEHAVIORAL HOSPITAL 6501 NE 50TH ST OKLAHOMA CITY OK 73141 Address last updated on 1/2/2024
Phone #:	(405) 792-5330
Fax #:
County:	OKLAHOMA
License:	278
Dated:	2/12/2024
Expires:	11/30/2025
Temp. Ltr. Issued:	1/23/2024
Temp. Ltr. Expires:	3/7/2024
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
CEDAR RIDGE BEHAVIORAL HOSPITAL 6501 NE 50TH ST OKLAHOMA CITY OK 73141 Phone #: (405) 792-5330 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KATELYN ELIZABETH HERNANDEZ	TRS	186

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