MEDICARE: MRS. BRANDI PARKER MCDANIEL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		OK

General Provider Information

NPI Number	:	1386914240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRANDI PARKER MCDANIEL LPC

Provider Business Mailing Address
First Line	:	13524 RAILWAY DR
Second Line	:	SUITE J
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-2260
Country	:	US
Telephone Number	:	405-608-6878
Fax Number	:

Provider Business Practice Location Address
First Line	:	13524 RAILWAY DR
Second Line	:	SUITE J
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-2260
Country	:	US
Telephone Number	:	405-608-6878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	06/21/2016

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