Provider Demographics
NPI:1477822278
Name:CAPPS, ROBERT CLIFTON (LADC/CANDIDATE/CMII)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CLIFTON
Last Name:CAPPS
Suffix:
Gender:M
Credentials:LADC/CANDIDATE/CMII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N BOULEVARD APT 111
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3751
Mailing Address - Country:US
Mailing Address - Phone:405-889-5768
Mailing Address - Fax:
Practice Address - Street 1:4001 N CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2685
Practice Address - Country:US
Practice Address - Phone:405-524-2424
Practice Address - Fax:405-525-3677
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor