Davis, Walter

Davis, Walter is an individual health care provider with primary practice located at 13301 N Meridian Ave Bldg 100, Oklahoma City OK 73120-9369. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Davis, Walter can be contacted via phone (405) 752-9500.

Contact Information

Primary practice address
13301 N Meridian Ave Bldg 100 Oklahoma City OK 73120-9369
Fax: (405) 752-9571
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 531 Oklahoma

Profile Details

NPI number 1457300717
LBN Legal business name Davis, Walter
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457300717 NPPES
Oklahoma Other 7557018 AETNA
Oklahoma Other 900000044001 AETNA
Oklahoma Other 237278001A020 AETNA

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