| A Healing Connection Psychological Services Pllc | |
|
12906 E 106th St N Owasso OK 74055 | |
| (918) 376-4552 | |
| (918) 376-4586 |
| Full Name | A Healing Connection Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 12906 E 106th St N, Owasso, Oklahoma |
| Authorized Official Name and Position | Jennifer Wood (PHD AND OWNER) |
| Authorized Official Contact | 9183764552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healing Connection Psychological Services Pllc 12906 E 106th St N Owasso OK 74055-5909 Ph: (918) 376-4552 | A Healing Connection Psychological Services Pllc 12906 E 106th St N Owasso OK 74055 Ph: (918) 376-4552 |
| NPI Number | 1780172320 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 06/22/2018 |
| Medicare PECOS PAC ID | 4082966403 |
|---|---|
| Medicare Enrollment ID | O20181015000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780172320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1060 (Oklahoma) | Primary |
| Provider Name | Jennifer S Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043454903 PECOS PAC ID: 1153515523 Enrollment ID: I20111129000069 |
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