| NPI | 1235568411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE JANINE WELLINGTON Clinical Psychologist 405-474-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 610) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |