Desti Shepard Edwards, PHD | |
1200 Childrens Ave, Oklahoma City, OK 73104-4637 | |
(405) 271-4407 | |
Not Available |
Full Name | Desti Shepard Edwards |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 6 Years |
Location | 1200 Childrens Ave, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770139644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ou Health Partners Inc | 5991105876 | 795 |
Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
---|---|
Desti Shepard Edwards, PHD 500 Central Park Dr Apt 303, Oklahoma City, OK 73105-1716 Ph: (225) 278-1857 | Desti Shepard Edwards, PHD 1200 Childrens Ave, Oklahoma City, OK 73104-4637 Ph: (405) 271-4407 |
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