| NPI | 1598168635 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS PSYCHOLOGY AT FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |