Community Pathways Unlimited, Inc. | |
4045 Nw 64th St Suite 520 Oklahoma City OK 73116-1684 | |
(405) 842-4911 | |
(405) 842-5807 |
Full Name | Community Pathways Unlimited, Inc. |
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Speciality | Psychologist - Clinical |
Location | 4045 Nw 64th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Laurel A Van Horn (CLINICAL DIRECTOR) |
Authorized Official Contact | 4058424911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Pathways Unlimited, Inc. 4045 Nw 64th St Suite 520 Oklahoma City OK 73116-1684 Ph: (405) 842-4911 | Community Pathways Unlimited, Inc. 4045 Nw 64th St Suite 520 Oklahoma City OK 73116-1684 Ph: (405) 842-4911 |
NPI Number | 1255477204 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1255477204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 260 (Oklahoma) | Primary |
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