| Hartsell Psychological Services, Inc | |
|
504 E 24th St Tishomingo OK 73460-3214 | |
| (580) 371-9933 | |
| (580) 371-9944 |
| Full Name | Hartsell Psychological Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 E 24th St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Carol Sue Kimbro (PROFFESIONAL COULNSLER) |
| Authorized Official Contact | 5803719933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartsell Psychological Services, Inc 504 E 24th St Tishoming OK 73460 Ph: (580) 371-9933 | Hartsell Psychological Services, Inc 504 E 24th St Tishomingo OK 73460-3214 Ph: (580) 371-9933 |
| NPI Number | 1407177306 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407177306 | NPI | - | NPPES |
| 100746580E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3839 (Oklahoma) | Primary |
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