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 |