NPI | 1255517090 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT ELLIOTT HEMSTREET Psychologist 580-234-5330 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 899) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2008-01-10 |