| NPI | 1336478395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEGAN B SMITH Licensed Psychologist/CEO 405-801-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1043) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2011-06-15 |