Provider Demographics
NPI:1063056737
Name:GERING, DANIEL LAWRENCE (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LAWRENCE
Last Name:GERING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 WINTER DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7450
Mailing Address - Country:US
Mailing Address - Phone:405-740-3581
Mailing Address - Fax:
Practice Address - Street 1:4001 N CLASSEN BLVD STE 230
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2643
Practice Address - Country:US
Practice Address - Phone:405-367-9354
Practice Address - Fax:405-930-5432
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service