Organization · Type 2 NPI

Lighthouse Behavioral Wellness Centers

Child & Adolescent Psychiatry Physician · Ardmore, OK

NPI number 1649796590 Active

Practice location

2530 S Commerce St Bldg C
Ardmore, OK 73401-5519

Fax (580) 226-3569

Mailing address

PO Box 189
Ardmore, OK 73402-0189

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804X4157 (OK)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1649796590

Lighthouse Behavioral Wellness Centers's National Provider Identifier is 1649796590, issued on Aug 22, 2017. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Ardmore, OK. The record was last updated on May 20, 2020.