| Modern Mindcare Pllc | |
|
1985 W 33rd St Edmond OK 73013-3875 | |
| (405) 633-2496 | |
| (224) 935-4482 |
| Full Name | Modern Mindcare Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1985 W 33rd St, Edmond, Oklahoma |
| Authorized Official Name and Position | Shyvonne Gray (OWNER) |
| Authorized Official Contact | 4056332496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mindcare Pllc 1985 W 33rd St Edmond OK 73013-3875 Ph: (405) 633-2496 | Modern Mindcare Pllc 1985 W 33rd St Edmond OK 73013-3875 Ph: (405) 633-2496 |
| NPI Number | 1013473560 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013473560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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