| Swpc | |
|
516 Expo Circle South Stillwater OK 74074 | |
| (405) 377-0834 | |
| (405) 377-0860 |
| Full Name | Swpc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 516 Expo Circle South, Stillwater, Oklahoma |
| Authorized Official Name and Position | Deborah Tate (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053770834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swpc Po Box 1509 Stillwater OK 74076-1509 Ph: (405) 377-0834 | Swpc 516 Expo Circle South Stillwater OK 74074 Ph: (405) 377-0834 |
| NPI Number | 1831315175 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831315175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (Oklahoma) | Primary |
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