Organization
AMERICAN PSYCHOLOGICAL SERVICES
Active
Organization
AMERICAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB TYLER HAHN LPC (DIRECTOR)
(918) 836-0239
Entity
Organization
Contact information
Practice address
3515 E ADMIRAL CT, TULSA, OK 74115-8205
(918) 836-0239
Mailing address
3515 E ADMIRAL CT, TULSA, OK 74115-8205
(918) 836-0239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4862
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200404480B
—
OK
Enumeration date
11/26/2012
Last updated
11/26/2012
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