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Organization
CAPES CLINIC, LLC
Active
Organization
CAPES CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH RINEER PH.D. (PRESIDENT)
(918) 747-8282
Entity
Organization
Contact information
Practice address
5350 E 46TH ST, SUITE 110, TULSA, OK 74135-6612
(918) 747-8282
(918) 747-6601
Mailing address
3311 E 46TH ST, TULSA, OK 74135-2903
(918) 747-8282
(918) 747-6601
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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