Provider Demographics
NPI:1427330398
Name:DEAN, DAVID D
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:DEAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15601 CREEK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-9711
Mailing Address - Country:US
Mailing Address - Phone:405-887-3857
Mailing Address - Fax:
Practice Address - Street 1:15601 CREEK VIEW DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-9711
Practice Address - Country:US
Practice Address - Phone:405-887-3857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health