Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEY GREGG PHD (LICENSED HEALTH SERVICE PSYCHOLOGIS)
(405) 641-5367
Entity
Organization
Contact information
Practice address
510 24TH AVE SW, NORMAN, OK 73069-5106
(405) 329-7923
(405) 329-8815
Mailing address
510 24TH AVE SW, NORMAN, OK 73069-5106
(405) 329-7923
(405) 329-8815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5124
OK
103T00000X
Psychologist
Primary
1237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073891594
INDIVIDUAL NPI
OK
05
—
1073891594
—
OK
01
—
1235499773
INDIVIDUAL NPI
OK
05
—
1235499773
—
OK
05
—
1639545965
—
OK
05
—
200447140 A
—
OK
05
—
200599660 A
—
OK
05
—
200602650 A
—
OK
05
—
200602650 B
—
OK
Enumeration date
08/20/2015
Last updated
09/08/2015
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