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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