Healthcare Provider Details

I. General information

NPI: 1033393228
Provider Name (Legal Business Name): D'ANN ROSE DOERFLINGER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: D'ANN ROSE BERRONG

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NW 163RD ST
EDMOND OK
73013-2648
US

IV. Provider business mailing address

601 NW 163RD ST
EDMOND OK
73013-2648
US

V. Phone/Fax

Practice location:
  • Phone: 580-650-8553
  • Fax:
Mailing address:
  • Phone: 580-650-8553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04368
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014624
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: