| Organization Name: | S-OKLA PSYCHOLOGICAL SERVICES, INC. |
| NPI Number: | 1255567186 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN E. HARTSELL (CEO) |
| Mailing Address: | 310 W Main St Suite D Wilburton |
| State: | OK US |
| Postal Code: | 745784008 |
| Phone Number: | 9186450909 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 06/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |