Wakefield, David

Wakefield, David is an individual health care provider with primary practice located at 6655 S Yale Ave , Tulsa OK 74136-3326. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wakefield, David can be contacted via phone (918) 491-3700.

Contact Information

Primary practice address
6655 S Yale Ave Tulsa OK 74136-3326
Phone: (918) 491-3700
Fax: (918) 481-4063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 268 Oklahoma
Behavioral Health & Social Service Providers / Psychologist 103T00000X 682 Oklahoma

Profile Details

NPI number 1073050308
LBN Legal business name Wakefield, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2017
Last updated Jan 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073050308 NPPES
Oklahoma MEDICAID 100842120A

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