Organization
HARTSELL PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELVA AUSTIN BA, BHRS (BEHAVIORAL HEALTH REHABILITATION SP)
(580) 371-9933
Entity
Organization
Contact information
Practice address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9933
(580) 371-9944
Mailing address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9933
(580) 371-9944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
731526909
OK
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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