NPI | 1306286588 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD W HUME Provider/Owner 405-818-1505 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 145) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2024-05-30 |