Organization
NOVA THERAPY WORKS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DOUGLAS MYERS JR. PH.D. (PRESIDENT)
(918) 540-7458
Entity
Organization
Contact information
Practice address
207 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-7458
(918) 540-7455
Mailing address
PO BOX 931, MIAMI, OK 74355-0931
(918) 540-7458
(918) 540-7745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1025
OK
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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