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Grundy Psychological Services, P.c.
Health Service Psychologist in Ketchum, Oklahoma
NPI 1457827016

Grundy Psychological Services, P.c. is a Health Service Psychologist based in Ketchum, OK and is specialized in Health Service. Grundy Psychological Services, P.c. practices in Ketchum, OK. The NPI Number for Grundy Psychological Services, P.c. is 1457827016 and holds a License No. (Oklahoma).

The current practice location address for Grundy Psychological Services, P.c. is 205 Ketchum Avenue, Ketchum, OK and can be reached out via phone at 918-629-8664 and via fax at 918-782-4301.

Location: 205 Ketchum Avenue, Ketchum, OK, 74349-0006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457827016
Provider Name
Grundy Psychological Services, P.c.
Credential
Provider Entity Type
Organization
Address
205 Ketchum Avenue, Ketchum, OK, 74349-0006
Phone Number
918-629-8664
Fax Number
918-782-4301
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100839060A 05 OK
100838100A 05 OK
institution
Provider Business Practice Location Address Details
Address
205 Ketchum Avenue
City
Ketchum
State
Oklahoma
Zip
74349
Phone Number
918-629-8664
Fax Number
918-782-4301
person
Provider Business Mailing Address Details
Address
205 Ketchum Avenue
City
Ketchum
State
Oklahoma
Zip
74349
Phone Number
918-629-8664
Fax Number
918-782-4301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
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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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