| Doctor Name: | DR. JOHN M. CUMMINS |
| NPI Number: | 1821288424 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2-3601 |
| Business Practice Address: | 500 W Rogers Blvd Suite E Skiatook, OK - 740701081 |
| Business Phone Number: | 9183969004 |
| Business Fax Number: | 9183962218 |
| Mailing Address: | 500 W Rogers Blvd, Suite E SKIATOOK |
| State: | OK |
| Postal Code: | 740701081 |
| Phone Number: | 9183969004 |
| Fax Number: | 9183962218 |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 2-3601 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |