NPI 1265028856 · live from the CMS NPI Registry
Daniel Anderson, PhD
Psychologist in Midwest City, OK. National Provider Identifier 1265028856, active.
NPI record
| NPI | 1265028856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1212 S Air Depot Blvd Ste 9, Midwest City, OK 73110 |
| Practice phone | 405-455-6868 |
| Enumerated | December 17, 2020 |
| Last updated | October 30, 2024 |
| Sole proprietor | No |
| Other names | Daniel Anderson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Behavior Analyst | 103K00000X | — |
| Psychologist primary | 103T00000X | 1465 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.