Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1144652132 |
---|---|
Provider Name | Mrs. Felisa Cargile |
First Address | Oklahoma City, OK 73114-1514 |
Second Address | Oklahoma City, OK 73114-1514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 01/08/2013 |