| Breaking Barriers Together | |
|
14300 N Pennsylvania Ave Apt 326 Oklahoma City OK 73134-6063 | |
| (405) 568-1338 | |
| Not Available |
| Full Name | Breaking Barriers Together |
|---|---|
| Speciality | Psychologist - Family |
| Location | 14300 N Pennsylvania Ave Apt 326, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Xander Faison (CLINICIAN) |
| Authorized Official Contact | 4438760637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Barriers Together 14300 N Pennsylvania Ave Apt 326 Oklahoma City OK 73134-6063 Ph: (405) 568-1338 | Breaking Barriers Together 14300 N Pennsylvania Ave Apt 326 Oklahoma City OK 73134-6063 Ph: (405) 568-1338 |
| NPI Number | 1356959589 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356959589 | NPI | - | NPPES |
| 0578458974 | Medicaid | OK |
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