NPI | 1205035458 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT ARTHUR GLASS President 405-354-5777 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 765) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |