Provider Type: Behavioral Health & Social Service Providers
Provider Classification: Psychologist
Provider Specialization: Clinical
Address: 1366 E 15th St
Edmond, OK 73013-5029
Phone: (405) 341-4313
Fax: (405) 340-4567
Authorized Official: Dr. Beasley, Stewart R, Jr., PH.D.
Authorized Official Position: Managing Member
Authorized Official Phone: (405) 341-4313

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