| NPI | 1235672692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BENDURE Health Service Psychologist 405-370-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1250) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-03-27 |