Provider Demographics
NPI:1508027889
Name:GIDDINGS, DAVID EARL (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EARL
Last Name:GIDDINGS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S KOENIGHEIM ST STE 3E
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6769
Mailing Address - Country:US
Mailing Address - Phone:325-659-3700
Mailing Address - Fax:
Practice Address - Street 1:502 S KOENIGHEIM ST STE 3E
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6769
Practice Address - Country:US
Practice Address - Phone:325-659-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17373101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional