Provider Demographics
NPI:1144734633
Name:ALDEN CLINIC EVALUATION SERVICES PLLC
Entity type:Organization
Organization Name:ALDEN CLINIC EVALUATION SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:DANAHER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:405-422-2902
Mailing Address - Street 1:6125 W. RENO AVENUE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-6552
Mailing Address - Country:US
Mailing Address - Phone:405-422-2902
Mailing Address - Fax:405-422-2802
Practice Address - Street 1:6125 W. RENO AVENUE
Practice Address - Street 2:SUITE 900
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-6552
Practice Address - Country:US
Practice Address - Phone:405-422-2902
Practice Address - Fax:405-422-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK799103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty