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Jonathan D Cargill, Phd, INC

NPI #1003092479 in Shawnee, Oklahoma

Provider Information

NPI Number
1003092479
Entity Type
Organization
Organization Name
Jonathan D Cargill, Phd, INC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Jan 16, 2008
Last Updated
Jan 16, 2008

Practice Location

Address
23 E 9TH ST
Address 2
SUITE 311
City
Shawnee
State
Oklahoma
ZIP Code
74801-6943
Phone
(405) 275-6701

Authorized Official

Name
DR. JONATHAN DALE CARGILL, PHD
Title
PRESIDENT
Phone
(405) 598-3668

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical — Clinical

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