Individual
DR. DANIEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1212 S AIR DEPOT BLVD STE 9, MIDWEST CITY, OK 73110-4860
(405) 455-6868
Mailing address
1212 S AIR DEPOT BLVD STE 9, MIDWEST CITY, OK 73110-4860
(405) 455-6868
(405) 562-3444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
1465
OK
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/17/2020
Last updated
10/30/2024
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