Shawn Douglas Roberts, LPC | |
2635 W Elk Ave, Duncan, OK 73533-1572 | |
(580) 252-6080 | |
Not Available |
Full Name | Shawn Douglas Roberts |
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Gender | Male |
Speciality | Counselor |
Location | 2635 W Elk Ave, Duncan, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629632187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 10789 (Oklahoma) | Primary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
Entity Name | Duncan Regional Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699318147 PECOS PAC ID: 5193613057 Enrollment ID: O20200930003440 |
Mailing Address | Practice Location Address |
---|---|
Shawn Douglas Roberts, LPC 910 Sw E Ave, Lawton, OK 73501-4593 Ph: (580) 699-5550 | Shawn Douglas Roberts, LPC 2635 W Elk Ave, Duncan, OK 73533-1572 Ph: (580) 252-6080 |
Sheryl Johnson-bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 S 7th St, Duncan, OK 73533 Phone: 580-255-8800 | |
Didric Antonio Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Ridgecrest Dr, Duncan, OK 73533 Phone: 580-730-0075 | |
Charmin Marie Andrews, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 W Ash Ave Ste 103, Duncan, OK 73533 Phone: 580-606-3094 Fax: 580-786-0269 | |
Crystal Huckabaa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 N 8th St, Duncan, OK 73533 Phone: 888-573-7792 | |
Debra K Brantley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 W Pine Ave, Duncan, OK 73533 Phone: 580-255-7460 Fax: 580-255-7675 | |
Tracie Gillispie, LPC CAND. Counselor Medicare: Medicare Enrolled Practice Location: 23 N 8th St, Duncan, OK 73533 Phone: 580-656-0265 | |
Kimberly Mcadoo, CADC UNDER SUPERVISI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 W Main St, Duncan, OK 73533 Phone: 580-255-4323 Fax: 580-470-9981 |