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NPI Code Detail

MEDICARE: DAVID SCHROYER LADC-MH, STATE OF OK

MEDICARE: DAVID SCHROYER LADC-MH, STATE OF OK
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1489OK

General Provider Information

NPI Number : 1568276111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCHROYER LADC-MH, STATE OF OK
Provider Business Mailing Address
First Line : 916 HUNTERS POINTE RD
Second Line :
City : EDMOND
State : OK
Zip : 73003-3513
Country : US
Telephone Number : 480-560-2153
Fax Number :
Provider Business Practice Location Address
First Line : 4101 N CLASSEN BLVD STE D
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-2413
Country : US
Telephone Number : 405-261-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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