Organization
POYNER PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL ANNE POYNER PH.D. (CHEIF EXECUTIVE OFFICER)
(405) 741-2844
Entity
Organization
Contact information
Practice address
14453 SE 29TH ST, SUITE D, CHOCTAW, OK 73020-6541
(405) 741-2844
(405) 733-1334
Mailing address
14453 SE 29TH ST, SUITE B, CHOCTAW, OK 73020-6541
(405) 741-2844
(405) 733-1334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
950
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086310 A
—
OK
Enumeration date
03/30/2007
Last updated
05/19/2008
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