Provider Demographics
NPI:1720196371
Name:OLDFIELD, DONALD E (MED, LMFT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:OLDFIELD
Suffix:
Gender:M
Credentials:MED, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-3034
Mailing Address - Country:US
Mailing Address - Phone:940-549-6002
Mailing Address - Fax:940-549-6002
Practice Address - Street 1:503 2ND ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-3034
Practice Address - Country:US
Practice Address - Phone:940-549-6002
Practice Address - Fax:940-549-6002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4502106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist