Individual provider · Type 1 NPI

Peter Matthew Mahan

Mental Health Clinic/Center (Including Community Mental Health Center) · Edmond, OK

NPI number 1770034985 Active

Practice location

2821 Mustang Trl
Edmond, OK 73012-6688

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1770034985

Peter Matthew Mahan's National Provider Identifier is 1770034985, issued on Oct 24, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Edmond, OK. The record was last updated on Aug 21, 2024.