| Eva Hartley Lpc Ladc Pllc | |
|
414 W Monroe St Purcell OK 73080-3208 | |
| (405) 420-2469 | |
| Not Available |
| Full Name | Eva Hartley Lpc Ladc Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 414 W Monroe St, Purcell, Oklahoma |
| Authorized Official Name and Position | Ethel Eva Hartley (OWNER) |
| Authorized Official Contact | 4052402469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Hartley Lpc Ladc Pllc 414 W. Monroe Puecell OK 74878 Ph: (405) 420-2469 | Eva Hartley Lpc Ladc Pllc 414 W Monroe St Purcell OK 73080-3208 Ph: (405) 420-2469 |
| NPI Number | 1467830554 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467830554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 5490 (Oklahoma) | Primary |
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