| NPI | 1639545965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEY GREGG Licensed Health Service Psychologis 405-641-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5124) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-09-08 |