Individual
PHILLIP MICHAEL MASSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
416 NW 38TH ST, OKLAHOMA CITY, OK 73118-8412
(405) 528-1487
(405) 521-0019
Mailing address
416 NW 38TH ST, OKLAHOMA CITY, OK 73118-8412
(405) 528-1487
(405) 521-0019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1005
OK
Other
Enumeration date
08/09/2006
Last updated
06/06/2012
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