Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | NONE |
NPI | 1003036484 |
---|---|
Provider Name | Mr. Daniel L Sherman |
First Address | Sapulpa, OK 74066-4201 |
Second Address | Sapulpa, OK 74066-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |