Individual
DESTI SHEPARD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4407
Mailing address
500 CENTRAL PARK DR APT 303, OKLAHOMA CITY, OK 73105-1716
(225) 278-1857
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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