| NPI | 1790847580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY M ISENBERG Psychologist 405-415-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: OK 313) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |