Provider Demographics
NPI:1265753206
Name:MCDOWELL, TODD HUNTER (LPC)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:HUNTER
Last Name:MCDOWELL
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 1:9700 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6917
Mailing Address - Country:US
Mailing Address - Phone:405-735-9732
Mailing Address - Fax:
Practice Address - Street 1:9700 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6917
Practice Address - Country:US
Practice Address - Phone:405-735-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3976251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3976OtherLPC LICENSING BOARD OF OKLAHOMA