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NPI Code Detail

MEDICARE: MS. MARIE LINDA ERRICO-DAVIS

MEDICARE:  MS. MARIE LINDA ERRICO-DAVIS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891069738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE LINDA ERRICO-DAVIS
Provider Business Mailing Address
First Line : 3813 CORBETT DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73115-2707
Country : US
Telephone Number : 405-413-6336
Fax Number :
Provider Business Practice Location Address
First Line : 3813 CORBETT DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73115-2707
Country : US
Telephone Number : 405-413-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “ MS. MARIE LINDA ERRICO-DAVIS ” Practice Location

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