| NPI | 1477687614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS O BRADY Owner/Psychologist 580-355-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 198) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 642) |
| 103T00000X Psychologist (Licence: TX 21363) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-04-26 |