Healthcare Provider Details

I. General information

NPI: 1063056737
Provider Name (Legal Business Name): DANIEL LAWRENCE GERING PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 N CLASSEN BLVD STE 230
OKLAHOMA CITY OK
73118-2643
US

IV. Provider business mailing address

3201 WINTER DR
OKLAHOMA CITY OK
73112-7450
US

V. Phone/Fax

Practice location:
  • Phone: 405-367-9354
  • Fax: 405-930-5432
Mailing address:
  • Phone: 405-740-3581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: