PSYDOC LLC NPI 1003209057

NPI Information

  • NPI: 1003209057
  • Provider Name: PSYDOC LLC
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Address: 309 N REDBUD AVE
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 813-7682

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NPI Details

PSYDOC LLC is a geriatric psychiatry psychiatry neurology in Broken Arrow, OK. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. PSYDOC LLC NPI is 1003209057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 N REDBUD AVE
BROKEN ARROW, OK
ZIP 74012-376
Phone: (918) 813-7682

The provider's authorized official is Stephen Patton .
The authorized official title is Md, Owner and has the following contact phone number (918) 813-7682.

The enumeration date for this NPI number is 3/16/2015 and was last updated on 3/16/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

What is NPI?

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This page was last updated on: 3/30/2025

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