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DR. DAVE SANFORD KERBY PHD NPI 1114463072


NPI Information

NPI: 1114463072
Provider Name: DR. DAVE SANFORD KERBY, PHD
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

PECOS Registration: Yes

Address:
1044 SW 4TH ST
MOORE, OK
ZIP 73160
Phone: (405) 735-6333
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DR. Dave Sanford Kerby, PHD is a health service psychologist in Moore, OK with 30 years of experience. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Dave Sanford Kerby, PHD NPI is 1114463072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1044 SW 4TH ST
MOORE, OK
ZIP 73160-405
Phone: (405) 735-6333
Fax: (405) 735-6629

The NPI 1114463072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/16/2017 and was last updated on 1/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical1277OKLAHOMANo
2103TH0100XPsychologistHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.