| NPI | 1285913350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY COMMANDER Clinical Psychologist 405-801-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1132) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2012-09-19 |