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Derek Thomas Bowden
Peer Specialist in Piedmont, Oklahoma
NPI 1295290914

Derek Thomas Bowden is a Peer Specialist based in Piedmont, OK. Derek Thomas Bowden practices in Piedmont, OK. The NPI Number for Derek Thomas Bowden is 1295290914 and holds a License No. (Oklahoma).

The current practice location address for Derek Thomas Bowden is 11820 Nw 131St St, Piedmont, OK and can be reached out via phone at 405-933-8651.

Location: 11820 Nw 131St St, Piedmont, OK, 73078-3014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295290914
Provider Name
Derek Thomas Bowden
Credential
Provider Entity Type
Individual
Gender
Male
Address
11820 Nw 131St St, Piedmont, OK, 73078-3014
Phone Number
405-933-8651
Fax Number
Provider Enumeration Date
02/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11820 Nw 131St St
City
Piedmont
State
Oklahoma
Zip
73078-3014
Phone Number
405-933-8651
Fax Number
person
Provider Business Mailing Address Details
Address
11820 Nw 131St St
City
Piedmont
State
Oklahoma
Zip
73078-3014
Phone Number
405-933-8651
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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