Doctor Name: | KEITH LEROY SHEFFIELD |
NPI Number: | 1063469534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.DIV., M.S., L.P.C. |
License Number: | |
Business Practice Address: | 245 S Madison Blvd Bartlesville, OK - 740062822 |
Business Phone Number: | 9183361463 |
Business Fax Number: | 9183319717 |
Mailing Address: | 245 S Madison Blvd, BARTLESVILLE |
State: | OK |
Postal Code: | 740062822 |
Phone Number: | 9183361463 |
Fax Number: | 9183319717 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |