Provider Demographics
NPI:1376651976
Name:BREWSTER, DARCY MARIE
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:MARIE
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N STATE ST
Mailing Address - Street 2:#8 S.
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-3869
Mailing Address - Country:US
Mailing Address - Phone:405-933-1213
Mailing Address - Fax:
Practice Address - Street 1:710 N STATE ST
Practice Address - Street 2:#8 S.
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-3869
Practice Address - Country:US
Practice Address - Phone:405-933-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health