Healthcare Provider Details

I. General information

NPI: 1275848756
Provider Name (Legal Business Name): DANIEL ALAN WHITTEN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 GOTT RD BLDG 810
ENID OK
73705-5103
US

IV. Provider business mailing address

527 GOTT RD BLDG 810
ENID OK
73705-5103
US

V. Phone/Fax

Practice location:
  • Phone: 580-213-7416
  • Fax:
Mailing address:
  • Phone: 580-213-7416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: