| Doctor Name: | SHANNON CANFIELD |
| NPI Number: | 1023309846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-P, BHRS |
| License Number: | 4079-P |
| Business Practice Address: | 550 24th Ave Nw Ste G Norman, OK - 730696210 |
| Business Phone Number: | 4053293349 |
| Business Fax Number: | |
| Mailing Address: | 4436 Nw 50th St, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731122212 |
| Phone Number: | 4058582700 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 04/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4079-P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |