Doctor Name: | DAVID STANLEY |
NPI Number: | 1205295235 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 702 N Grand St Enid, OK - 737013221 |
Business Phone Number: | 5802568615 |
Business Fax Number: | 5802568609 |
Mailing Address: | 1222 10th St Ste 211, WOODWARD |
State: | OK |
Postal Code: | 738013156 |
Phone Number: | 5802568615 |
Fax Number: | 5802568609 |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |