Provider Demographics
NPI:1093762007
Name:DOYLE, BARBARA WISE (LPC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:WISE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:SUE
Other - Last Name:WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2524 N BROADWAY
Mailing Address - Street 2:SUITE 323
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4133
Mailing Address - Country:US
Mailing Address - Phone:405-922-2608
Mailing Address - Fax:405-657-2420
Practice Address - Street 1:2524 N BROADWAY
Practice Address - Street 2:SUITE 323
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4133
Practice Address - Country:US
Practice Address - Phone:405-922-2608
Practice Address - Fax:405-657-2420
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health