Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 398 | OK |
N | 103T00000X | Psychologist | 398 | OK |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 398 | OK |
N | 103G00000X | Clinical Psychologist | 398 | OK |
N | 103TC0700X | Clinical Psychologist | 398 | OK |
N | 103TC1900X | Counseling Psychologist | 398 | OK |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 398 | OK |
N | 103TF0000X | Family Psychologist | 398 | OK |
N | 103TP0814X | Psychoanalysis | 398 | OK |
NPI | 1073570669 |
---|---|
Provider Name | Cynthia Moore Kampschaefer |
First Address | Oklahoma City, OK 73118-1802 |
Second Address | Oklahoma City, OK 73118-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/07/2007 |