Michael Christopher Puckett
Rehabilitation Psychologist
903 W Main St
Antlers
, Oklahoma 74523-2045
Michael Christopher Puckett
Rehabilitation Psychologist
903 W Main St
Antlers
, Oklahoma 74523-2045
(580) 298-5357
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Michael Christopher Puckett
- 128 Nw 16th St
- Oklahoma City, OK
- Zip : 73103-3433
- Fax : (580) 298-5357
- Phone : (580) 298-3001
Second Address
- Michael Christopher Puckett
- 903 W Main St
- Antlers, OK
- Zip : 74523-2045
- Fax : (580) 298-5357
- Phone : (580) 298-3001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1639434723 |
|---|---|
| Provider Name | Michael Christopher Puckett |
| First Address | Oklahoma City, OK 73103-3433 |
| Second Address | Antlers, OK 74523-2045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.