| The Brain Balance Center Inc | |
|
7512 N 133rd East Ave Owasso OK 74055-7138 | |
| (909) 438-0351 | |
| Not Available |
| Full Name | The Brain Balance Center Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7512 N 133rd East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Michael Maynard (CLINICIAN) |
| Authorized Official Contact | 0955303207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brain Balance Center Inc 7512 N 133rd East Ave Owasso OK 74055-7138 Ph: (909) 438-0351 | The Brain Balance Center Inc 7512 N 133rd East Ave Owasso OK 74055-7138 Ph: (909) 438-0351 |
| NPI Number | 1205540275 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205540275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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