| Life Psychiatric Clinic Clinton Llc | |
|
545 S 30th Street Clinton OK 73601 | |
| (580) 547-4087 | |
| Not Available |
| Full Name | Life Psychiatric Clinic Clinton Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 545 S 30th Street, Clinton, Oklahoma |
| Authorized Official Name and Position | Mebin Babu Thomas (MEMBER) |
| Authorized Official Contact | 4054149139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Psychiatric Clinic Clinton Llc 609 S Kelly Ave Ste B2 Edmond OK 73003-5725 Ph: () - | Life Psychiatric Clinic Clinton Llc 545 S 30th Street Clinton OK 73601 Ph: (580) 547-4087 |
| NPI Number | 1871382598 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871382598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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