| NPI | 1356538292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J MILLER President 405-810-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 340) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OK 340) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: OK 340) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OK 340) | |
| 103TC1900X Psychologist, Counseling (Licence: OK 340) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 340) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |