| Southern Oklahoma Psychological Associates Inc. | |
|
422 S Highland St Ada OK 74820-6949 | |
| (580) 332-9531 | |
| Not Available |
| Full Name | Southern Oklahoma Psychological Associates Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 422 S Highland St, Ada, Oklahoma |
| Authorized Official Name and Position | Reubin M. Wigdor (PRESIDENT) |
| Authorized Official Contact | 5803329531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oklahoma Psychological Associates Inc. 422 S Highland St Ada OK 74820-6949 Ph: (580) 332-9531 | Southern Oklahoma Psychological Associates Inc. 422 S Highland St Ada OK 74820-6949 Ph: (580) 332-9531 |
| NPI Number | 1336335314 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 516 (Oklahoma) | Primary |
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