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DR. DAVE SANFORD KERBY PHD

Behavioral Health & Social Service Providers Psychologist Clinical

Provider NPI: 1114463072

Provider Information:
DR. DAVE SANFORD KERBY PHD
Gender: M
Sole Proprietor

Practice Location:
1044 SW 4TH ST  MOORE, OK 73160-2405 US
Tel: 405-735-6333  Fax: 405-735-6629

Business Mailing Address:
1044 SW 4TH ST  MOORE, OK 73160-2405 US
Tel: 405-735-6333  Fax: 405-735-6629

NPI Information:
NPI: 1114463072
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
OK1277
Y103TH0100XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TH0100X

Type:

Classification:



Definition:



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