Organization Name: | SOONER PSYCHIATRY PLLC |
NPI Number: | 1689921207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AHMED REFAT ABDELAZIZ (PRESIDENT) |
Mailing Address: | 1218 E 9th St Suite 1 Edmond |
State: | OK US |
Postal Code: | 730345952 |
Phone Number: | 4058966777 |
Fax Number: | 4058966725 |
NPI Enumeration Date: | 08/14/2012 |
NPI Last Update Date: | 10/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |