| NPI | 1912724816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K. SHIELDS Owner/President 918-494-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |