RICHARD SUMMERFIELD DAVIDSON LSW
NPI 1891096186
Counselor - Mental Health in Sapulpa, OK
Active since November 03, 2010
About Richard Summerfield Davidson Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD SUMMERFIELD DAVIDSON LSW (NPI 1891096186) is an individual mental health provider in Sapulpa, Oklahoma and active in the NPI registry since November 2010.
NPPES Registry Identity
NPI1891096186
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICHARD SUMMERFIELD DAVIDSONCredential: LSW
Location Address23 E ROSS AVESapulpa, OK 74066-6423
Mailing Address5930 Lake DrMounds, OK 74047-5088 · (918) 827-7663
Phone(918) 227-2016
Sole ProprietorNo
Enumeration DateNovember 3, 2010
✔ NPI 1891096186 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
23 E ROSS AVE, Sapulpa, OK 74066
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891096186, enumerated as an "individual" on November 03, 2010.
The provider is located at 23 E ROSS AVE SAPULPA, OK 74066 and the phone number is (918) 227-2016.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.