The Brain Balance Center Inc | |
7512 N 133rd East Ave Owasso OK 74055-7138 | |
(909) 438-0351 | |
Not Available |
Full Name | The Brain Balance Center Inc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 7512 N 133rd East Ave, Owasso, Oklahoma |
Authorized Official Name and Position | Michael Maynard (CLINICIAN) |
Authorized Official Contact | 0955303207 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Brain Balance Center Inc 7512 N 133rd East Ave Owasso OK 74055-7138 Ph: (909) 438-0351 | The Brain Balance Center Inc 7512 N 133rd East Ave Owasso OK 74055-7138 Ph: (909) 438-0351 |
NPI Number | 1205540275 |
---|---|
Provider Enumeration Date | 01/13/2023 |
Last Update Date | 01/13/2023 |
Certification Date | 01/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205540275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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