| NPI | 1922382373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION SIGURDSON Manager 918-949-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 305) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 305) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OK 305) | |
| 103TF0000X Psychologist, Family (Licence: OK 305) | |
| 103TH0100X Psychologist, Health Service (Licence: OK 305) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |