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430 Bartles Rd Dewey OK 74029-0520 | |
(888) 362-8704 | |
(888) 355-1811 |
Full Name | |
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Speciality | Psychologist |
Location | 430 Bartles Rd, Dewey, Oklahoma |
Authorized Official Name and Position | Janet S Irwin (CEO/PRESIDENT) |
Authorized Official Contact | 8883628704 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1335 Nw Broad St Murfreesboro TN 37129-4428 Ph: (888) 362-8704 | 430 Bartles Rd Dewey OK 74029-0520 Ph: (888) 362-8704 |
NPI Number | 1558768051 |
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Provider Enumeration Date | 11/26/2014 |
Last Update Date | 11/26/2014 |
Medicare PECOS PAC ID | 9638086432 |
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Medicare Enrollment ID | O20160301000759 |
Identifier | Type | State | Issuer |
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1558768051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Courtney Nicole Sigworth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851655831 PECOS PAC ID: 0547526089 Enrollment ID: I20230511002451 |