Provider Demographics
NPI:1497182612
Name:OKLAHOMA ASSESSMENT AND THERAPY SERVICES
Entity type:Organization
Organization Name:OKLAHOMA ASSESSMENT AND THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MARGUERITE
Authorized Official - Last Name:LANGILLE-HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:405-698-0628
Mailing Address - Street 1:318 N BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-6920
Mailing Address - Country:US
Mailing Address - Phone:405-698-0628
Mailing Address - Fax:918-512-4741
Practice Address - Street 1:318 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-6920
Practice Address - Country:US
Practice Address - Phone:405-698-0628
Practice Address - Fax:918-512-4741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1182103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty