| NPI | 1629569264 |
|---|---|
| Doing Business As | GREEN COUNTRY PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DOTY Co President 918-878-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1118) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OK 1225) |
| 103TC0700X Psychologist, Clinical (Licence: OK 1225) | |
| 103TC0700X Psychologist, Clinical (Licence: OK 1118) | |
| 103TF0200X Psychologist, Forensic (Licence: OK 1118) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |