Individual
MR. EDWARD CLYDE SKIDMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.S.S.
Contact information
Practice address
417 COTTONWOOD ST, ARDMORE, OK 73401-1732
(580) 319-8402
Mailing address
PO BOX 1327, ARDMORE, OK 73402-1327
(580) 319-8402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us