| NPI | 1205026804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL KAMPSCHAEFER President 405-810-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 375) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OK 375) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OK 375) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OK 375) | |
| 103TC0700X Psychologist, Clinical (Licence: OK 375) | |
| 103TC1900X Psychologist, Counseling (Licence: OK 375) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 375) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 375) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-11-15 |