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 |