Organization
ANNA CRAYCRAFT PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CRAYCRAFT (CLINICAL PSYCHOLOGIST)
(405) 388-7624
Entity
Organization
Contact information
Practice address
1700 NW 17TH ST STE 100, OKLAHOMA CITY, OK 73106-4273
(405) 388-7624
Mailing address
1700 NW 17TH ST STE 100, OKLAHOMA CITY, OK 73106-4273
(405) 388-7624
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861640682
—
OK
Enumeration date
09/19/2022
Last updated
09/19/2022
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