| NPI | 1851624662 |
|---|---|
| Doing Business As | PARK RIDGE PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRANDON WARDELL President 405-412-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2024-11-13 |