| Elite Kids Usa | |
|
4611 Baker St Spencer OK 73084-2525 | |
| (405) 771-8822 | |
| Not Available |
| Full Name | Elite Kids Usa |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4611 Baker St, Spencer, Oklahoma |
| Authorized Official Name and Position | Veronica Glover (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4052098075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Kids Usa Po Box 364 Spencer OK 73084-0364 Ph: () - | Elite Kids Usa 4611 Baker St Spencer OK 73084-2525 Ph: (405) 771-8822 |
| NPI Number | 1770882227 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770882227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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