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NPI Code Detail

MEDICARE: SAMANTHA DANIELLE CARLTON MS, LMFT

MEDICARE:   SAMANTHA DANIELLE CARLTON  MS, LMFT
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
1106H00000XMarriage & Family Therapist1173OK

General Provider Information

NPI Number : 1548565955
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA DANIELLE CARLTON MS, LMFT
Provider Business Mailing Address
First Line : 4301 NW 63RD ST
Second Line : STE.100
City : OKLAHOMA CITY
State : OK
Zip : 73116-1549
Country : US
Telephone Number : 405-242-2969
Fax Number : 405-421-0818
Provider Business Practice Location Address
First Line : 4301 NW 63RD ST
Second Line : STE.100
City : OKLAHOMA CITY
State : OK
Zip : 73116-1549
Country : US
Telephone Number : 405-242-2969
Fax Number : 405-421-0818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2011
Last Update Date : 01/04/2016

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Directions to “ SAMANTHA DANIELLE CARLTON MS, LMFT” Practice Location

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