| Behavioral Health Group Of Northeastern Oklahoma | |
|
501 S Johnstone Ave Suite 510 Bartlesville OK 74003-6622 | |
| (918) 337-0900 | |
| Not Available |
| Full Name | Behavioral Health Group Of Northeastern Oklahoma |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 501 S Johnstone Ave, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Kenneth Spencer Wilson (PSYCHOLOGIST/MANAGING MEMBER) |
| Authorized Official Contact | 9183370900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Group Of Northeastern Oklahoma 501 S Johnstone Ave Suite 510 Bartlesville OK 74003-6622 Ph: (918) 337-0900 | Behavioral Health Group Of Northeastern Oklahoma 501 S Johnstone Ave Suite 510 Bartlesville OK 74003-6622 Ph: (918) 337-0900 |
| NPI Number | 1780825158 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 03/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780825158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3199 (Oklahoma) | Secondary |
| 103TC1900X | Psychologist - Counseling | 966 (Oklahoma) | Primary |
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