Provider Demographics
NPI:1326923236
Name:LADYMAN, KIRBY LYNN (LPC)
Entity type:Individual
Prefix:
First Name:KIRBY
Middle Name:LYNN
Last Name:LADYMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-5820
Mailing Address - Country:US
Mailing Address - Phone:405-933-3955
Mailing Address - Fax:
Practice Address - Street 1:415 W IOWA AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-3443
Practice Address - Country:US
Practice Address - Phone:405-222-3018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional