| Catoosa Hope Clinic | |
|
1755 N Highway 66 Ste F Catoosa OK 74015-2409 | |
| (918) 739-4885 | |
| (918) 739-4885 |
| Full Name | Catoosa Hope Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1755 N Highway 66, Catoosa, Oklahoma |
| Authorized Official Name and Position | Kyla Lussier (PHYSICIAN) |
| Authorized Official Contact | 9187394885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catoosa Hope Clinic 1755 N Highway 66 Ste F Catoosa OK 74015-2409 Ph: (918) 739-4885 | Catoosa Hope Clinic 1755 N Highway 66 Ste F Catoosa OK 74015-2409 Ph: (918) 739-4885 |
| NPI Number | 1568753101 |
|---|---|
| Provider Enumeration Date | 05/01/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568753101 | NPI | - | NPPES |
| 200339530A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Oklahoma) | Primary |
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