| NPI | 1912431156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES SHORT Psychologist 405-657-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1278) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-06-09 |