Organization
DR. C PROFESSIONAL SERVICES, PLLC
Active
Other names
Charles Cavett PhD, PsyD
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LYNN CAVETT PHD, PSYD (OWNER)
(405) 601-8261
Entity
Organization
Contact information
Practice address
7109 S KENTUCKY AVE, OKLAHOMA CITY, OK 73159-3427
(405) 601-8261
(405) 601-8261
Mailing address
7109 S KENTUCKY AVE, OKLAHOMA CITY, OK 73159-3427
(405) 601-8261
(405) 601-8261
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
4095
OK
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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