Individual
DR. DAVID WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
682
OK
106H00000X
Marriage & Family Therapist
268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100842120A
—
OK
Enumeration date
01/25/2017
Last updated
01/28/2022
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