Individual
GAYLE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
Mailing address
6342 VALLEY VIEW RD, EDMOND, OK 73034-8572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09202010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T080522162
—
OK
Enumeration date
09/16/2011
Last updated
09/16/2011
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