Organization
OKLAHOMA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN M. WILSON PH.D. (DEAN, COLLEGE OF HES)
(405) 744-9805
Entity
Organization
Contact information
Practice address
101 HES-WEST, OKLAHOMA STATE UNIVERSITY, STILLWATER, OK 74078-6122
(405) 744-5058
(405) 744-2800
Mailing address
233 HES, OKLAHOMA STATE UNIVERSITY, STILLWATER, OK 74078-6122
(405) 744-5058
(405) 744-2800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
872
OK
251S00000X
Community/Behavioral Health Agency
920
OK
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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