| Sadie Willmon-haque, Phd, Lcsw, Pllc | |
|
2300 Mckown Dr Norman OK 73072-6678 | |
| (405) 321-3600 | |
| (405) 321-3612 |
| Full Name | Sadie Willmon-haque, Phd, Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2300 Mckown Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Sadie Willmon-haque (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4053213600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sadie Willmon-haque, Phd, Lcsw, Pllc 2300 Mckown Dr Norman OK 73072-6678 Ph: (405) 321-3600 | Sadie Willmon-haque, Phd, Lcsw, Pllc 2300 Mckown Dr Norman OK 73072-6678 Ph: (405) 321-3600 |
| NPI Number | 1184961377 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 02/07/2014 |
| Medicare PECOS PAC ID | 5294951489 |
|---|---|
| Medicare Enrollment ID | O20140724000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184961377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1165 (Oklahoma) | Primary |
| 251S00000X | Community/behavioral Health | 2891 (Oklahoma) | Secondary |
| Provider Name | Sadie M Willmon Haque |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063661767 PECOS PAC ID: 0941426142 Enrollment ID: I20140724001134 |
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