Organization
PSYCHOLOGICAL REHABILITATION & CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EDWARD COOPER PH.D. (PRESIDENT)
(918) 633-2832
Entity
Organization
Contact information
Practice address
4204 W KENT ST, BROKEN ARROW, OK 74012-8754
(918) 633-2832
Mailing address
4204 W KENT ST, BROKEN ARROW, OK 74012-8754
(918) 633-2832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
802
OK
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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