Provider Demographics
NPI:1861505406
Name:ATKINS, DAVID W (MS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 E ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4223
Mailing Address - Country:US
Mailing Address - Phone:661-325-3033
Mailing Address - Fax:661-325-3030
Practice Address - Street 1:2012 E ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4223
Practice Address - Country:US
Practice Address - Phone:661-325-3033
Practice Address - Fax:661-325-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32068106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist