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New Leaf Institute Pllc
Health Service Psychologist in Owasso, Oklahoma
NPI 1295130508

New Leaf Institute Pllc is a Health Service Psychologist based in Owasso, OK and is specialized in Health Service. New Leaf Institute Pllc practices in Owasso, OK. The NPI Number for New Leaf Institute Pllc is 1295130508 and holds a License No. 1215 (Oklahoma).

The current practice location address for New Leaf Institute Pllc is 12906 E 106Th St N, Owasso, OK and can be reached out via phone at 918-240-9380 and via fax at 918-376-4586. You can also correspond with New Leaf Institute Pllc through the mailing address at 12906 E 106TH ST N, OWASSO, OK - 74055-5909 (mailing address contact number: 918-240-9380).

Location: 12906 E 106Th St N, Owasso, OK, 74055-5909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295130508
Provider Name
New Leaf Institute Pllc
Credential
Provider Entity Type
Organization
Address
12906 E 106Th St N, Owasso, OK, 74055-5909
Phone Number
918-240-9380
Fax Number
918-376-4586
Provider Enumeration Date
10/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200579150A 05 OK
institution
Provider Business Practice Location Address Details
Address
12906 E 106Th St N
City
Owasso
State
Oklahoma
Zip
74055-5909
Phone Number
918-240-9380
Fax Number
918-376-4586
person
Provider Business Mailing Address Details
Address
12906 E 106Th St N
City
Owasso
State
Oklahoma
Zip
74055-5909
Phone Number
918-240-9380
Fax Number
918-376-4586
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
1215 (Oklahoma)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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