Individual
OLIVIA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1729 W. 33RD STREET, EDMOND, OK 73013-3836
(405) 748-3432
Mailing address
1528 NW 126TH STREET, OKLAHOMA CITY, OK 73120-5086
(405) 748-3432
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006948103
—
OK
05
—
025365687
—
OK
05
—
0269000324
—
OK
05
—
027884943
—
OK
05
—
028638434
—
OK
05
—
030674055
—
OK
Enumeration date
03/25/2010
Last updated
03/25/2010
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