# CAPES CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376845578
- **Authorized official:** DR. MARY ELIZABETH RINEER PH.D. (PRESIDENT)
- **Authorized official phone:** (918) 747-8282

## Contact information

- **Practice address:** 5350 E 46TH ST, SUITE 110, TULSA, OK 74135-6612
- **Practice address phone:** (918) 747-8282
- **Practice address fax:** (918) 747-6601
- **Mailing address:** 3311 E 46TH ST, TULSA, OK 74135-2903
- **Mailing address phone:** (918) 747-8282
- **Mailing address fax:** (918) 747-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 11/22/2010