| NPI | 1861412157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN DUFFIELD Clinical Psychologist 918-749-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK 472) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |