Individual provider · Type 1 NPI

Dave Sanford Kerby, PhD

Health Service Psychologist · Moore, OK

NPI number 1114463072 Active

Practice location

1044 SW 4th St
Moore, OK 73160-2405

Fax (405) 735-6629

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed
Clinical Psychologist 103TC0700X1277 (OK)

Health Service Psychologist: 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).

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About NPI 1114463072

Dave Sanford Kerby, PhD's National Provider Identifier is 1114463072, issued on Jan 16, 2017. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Moore, OK. The record was last updated on Jan 20, 2017.