Provider Demographics
NPI:1669747887
Name:TEMPLETON, MICHAEL (MED, LPC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 W TECUMSEH RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8271
Mailing Address - Country:US
Mailing Address - Phone:405-321-0240
Mailing Address - Fax:
Practice Address - Street 1:1650 W TECUMSEH RD
Practice Address - Street 2:SUITE 500
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8271
Practice Address - Country:US
Practice Address - Phone:405-321-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional