MEDICARE: PATRICK DANIEL TURNER MS, LMFT

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
1	106H00000X	Marriage & Family Therapist		OK

General Provider Information

NPI Number	:	1861167819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK DANIEL TURNER MS, LMFT

Provider Business Mailing Address
First Line	:	15712 N PENNSYLVANIA AVE STE 2
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-7327
Country	:	US
Telephone Number	:	405-856-8216
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 N BROOKLINE AVE STE 175
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3612
Country	:	US
Telephone Number	:	580-704-9445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	06/12/2024

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