MR. EDWARD CLYDE SKIDMORE JR. R.S.S.
NPI 1992081137
Counselor - Addiction (Substance Use Disorder) in Ardmore, OK

Active since November 02, 2011
417 COTTONWOOD ST, ARDMORE, OK 73401(580) 319-8402 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Clyde Skidmore Jr. R.s.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD CLYDE SKIDMORE JR. R.S.S. (NPI 1992081137) is an individual addiction (substance use disorder) provider in Ardmore, Oklahoma and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1992081137
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDWARD CLYDE SKIDMORE JR.Credential: R.S.S.
Location Address417 COTTONWOOD STArdmore, OK 73401-1732
Mailing AddressPo Box 1327Ardmore, OK 73402-1327 · (580) 319-8402
Sole ProprietorYes
Enumeration DateNovember 2, 2011
NPI 1992081137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
417 COTTONWOOD ST, Ardmore, OK 73401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Skidmore's NPI number?

The NPI number for Edward Skidmore is 1992081137. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Edward Skidmore located?

Edward Skidmore practices at 417 Cottonwood St, Ardmore, OK 73401. The listed phone number is (580) 319-8402.

What is Edward Skidmore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Skidmore was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.