Organization
BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DAVID VAUGHT PH.D. (OWNER)
(918) 747-1600
Entity
Organization
Contact information
Practice address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Mailing address
5512 S LEWIS AVE, TULSA, OK 74105-7140
(918) 747-1600
(918) 749-2774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100838930A
—
OK
05
—
100838930C
—
OK
01
—
440486035001
BCBS
OK
01
—
5175055
AETNA
OK
Enumeration date
04/17/2007
Last updated
07/05/2010
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