| Integrity Pathways | |
|
2024 W Broadway St Muskogee OK 74401-2758 | |
| (918) 682-9292 | |
| (918) 682-5492 |
| Full Name | Integrity Pathways |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2024 W Broadway St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Jdene Michelle Rogers (OWNERCEO) |
| Authorized Official Contact | 9186829292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Pathways 2024 W Broadway St Muskogee OK 74401-2758 Ph: (918) 682-9292 | Integrity Pathways 2024 W Broadway St Muskogee OK 74401-2758 Ph: (918) 682-9292 |
| NPI Number | 1154471027 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154471027 | NPI | - | NPPES |
| 100840290B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 915 (Oklahoma) | Primary |
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