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13546 County Road 3600 Ada OK 74820-5378 | |
| (580) 272-6600 | |
| (580) 436-2151 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 13546 County Road 3600, Ada, Oklahoma |
| Authorized Official Name and Position | Nina Honeyman (CEO) |
| Authorized Official Contact | 5802726600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13546 County Road 3600 Ada OK 74820-5378 Ph: (580) 272-6600 | 13546 County Road 3600 Ada OK 74820-5378 Ph: (580) 272-6600 |
| NPI Number | 1578759643 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578759643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (Oklahoma) | Primary |
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