| Preisz Mcmillin Clinic Inc | |
|
3629 Nw 51st St Oklahoma City OK 73112 | |
| (405) 848-4244 | |
| (405) 601-3750 |
| Full Name | Preisz Mcmillin Clinic Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3629 Nw 51st St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Debra J Parrish (OFFICE MGR) |
| Authorized Official Contact | 4056010954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preisz Mcmillin Clinic Inc 3629 Nw 51st St Oklahoma City OK 73112 Ph: (405) 848-4244 | Preisz Mcmillin Clinic Inc 3629 Nw 51st St Oklahoma City OK 73112 Ph: (405) 848-4244 |
| NPI Number | 1316066749 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/31/2011 |
| Medicare PECOS PAC ID | 2264485291 |
|---|---|
| Medicare Enrollment ID | O20050301001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316066749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 132 (Oklahoma) | Primary |
| Provider Name | Melvyn G Preisz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386755148 PECOS PAC ID: 3072566009 Enrollment ID: I20101004001347 |
| Provider Name | Marcia S Mcmillin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396847265 PECOS PAC ID: 5890748826 Enrollment ID: I20111027000852 |
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