Grundy Psychological Services, P.C.

LBN: Grundy Psychological Services, P.C.
Grundy Psychological Services, P.C. is an health care organization with primary practice located at 205 Ketchum Avenue , Ketchum OK 74349. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as the primary health care specialty. Grundy Psychological Services, P.C. can be contacted via phone (918) 629-8664, or through Grundy, Elizabeth Mollette via phone (918) 855-8315.

Contact Information

Primary practice address
205 Ketchum Avenue Ketchum OK 74349
Phone: (918) 629-8664
Fax: (918) 782-4301
Website:
Map and Directions
Authorized official contact:
Name: Grundy, Elizabeth Mollette PH.D.
Phone: (918) 855-8315

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1457827016
LBN Legal business name Grundy Psychological Services, P.C.
DBA Doing business as
Authorized official Grundy, Elizabeth Mollette PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457827016 NPPES
Oklahoma MEDICAID 100839060A
Oklahoma MEDICAID 100838100A

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