| Doctor Name: | DR. RAY KING |
| NPI Number: | 1740269992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 5700 Arnold St 72mdg/sgoh (lssc) Tinker Afb, OK - 731458105 |
| Business Phone Number: | 4054085216 |
| Business Fax Number: | |
| Mailing Address: | 3812 Buckingham Dr, NORMAN |
| State: | OK |
| Postal Code: | 730721753 |
| Phone Number: | 4054085216 |
| Fax Number: | 4059544852 |
| NPI Enumeration Date: | 01/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |