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NPI Code Detail

MEDICARE: DR. DANIEL LAWRENCE GERING PHD

MEDICARE:  DR. DANIEL LAWRENCE GERING  PHD
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
1103TH0100XHealth Service Psychologist
2103TC2200XClinical Child & Adolescent Psychologist

General Provider Information

NPI Number : 1063056737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL LAWRENCE GERING PHD
Provider Business Mailing Address
First Line : 3201 WINTER DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7450
Country : US
Telephone Number : 405-740-3581
Fax Number :
Provider Business Practice Location Address
First Line : 4001 N CLASSEN BLVD STE 230
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-2643
Country : US
Telephone Number : 405-367-9354
Fax Number : 405-930-5432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 09/25/2024

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