Provider Type Icon

DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES NPI 1477045995


NPI Information

NPI: 1477045995
Provider Name: DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES

Doing Business As: DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
104 S 7TH ST
CLINTON, OK
ZIP 73601
Phone: (580) 402-1696
Get Directions

DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES is a mental health counselor in Clinton, OK. DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES NPI is 1477045995. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dynamic Psychological & Mediation Services.

The provider's business location address is:

104 S 7TH ST
CLINTON, OK
ZIP 73601
Phone: (580) 402-1696

The provider's authorized official is James Gichuki .
The authorized official title is Director/owner and has the following contact phone number (580) 402-1696.

The enumeration date for this NPI number is 5/31/2018 and was last updated on 5/31/2018.


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
1101YM0800XCounselorMental Health6010OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.