Individual
DR. PERRY LEN HASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5100 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3623
(405) 604-3170
(405) 948-2745
Mailing address
400 FAIRVIEW AVE, SUITE 9, PONCA CITY, OK 74601-1910
(580) 716-6141
(580) 762-8896
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100839670 A
—
OK
Enumeration date
08/31/2006
Last updated
07/21/2022
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