Individual
MR. TIMOTHY W PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LADC
Contact information
Practice address
4301 MOW WAY RD, BLGD #4600 SWS 3 WEST, FORT SILL, OK 73503-6300
(580) 458-3600
Mailing address
321 SW 72ND ST, LAWTON, OK 73505-6621
(580) 536-4512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
213
OK
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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