Healthcare Provider Details

I. General information

NPI: 1710602719
Provider Name (Legal Business Name): DAVID SPINDLE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 N LIBBY AVE
OKLAHOMA CITY OK
73132-6848
US

IV. Provider business mailing address

6801 N LIBBY AVE
OKLAHOMA CITY OK
73132-6848
US

V. Phone/Fax

Practice location:
  • Phone: 405-642-8166
  • Fax:
Mailing address:
  • Phone: 405-642-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11048
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: