LIFE PSYCHIATRIC CLINIC PLLC NPI 1427722370

NPI Information

LIFE PSYCHIATRIC CLINIC PLLC is a neurology psychiatry neurology in Edmond, OK. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LIFE PSYCHIATRIC CLINIC PLLC NPI is 1427722370. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

609 S KELLY AVE STE B2
EDMOND, OK
ZIP 73003-725
Phone: (405) 724-6871
Fax: (405) 726-0423

The provider's authorized official is Mebin Babu Thomas .
The authorized official title is Member and has the following contact phone number (405) 414-9139.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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