| Jonathan D Cargill, Phd, Inc | |
|
23 E 9th St Suite 311 Shawnee OK 74801-6943 | |
| (405) 275-6701 | |
| (405) 598-3668 |
| Full Name | Jonathan D Cargill, Phd, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 23 E 9th St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Jonathan Dale Cargill (PRESIDENT) |
| Authorized Official Contact | 4055983668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Cargill, Phd, Inc Po Box 114 Tecumseh OK 74873-0114 Ph: (405) 598-3668 | Jonathan D Cargill, Phd, Inc 23 E 9th St Suite 311 Shawnee OK 74801-6943 Ph: (405) 275-6701 |
| NPI Number | 1003092479 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003092479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 300 (Oklahoma) | Primary |
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