Southeastern Psychiatric Services LLC

NPI #1639105752 in Mcalester, Oklahoma

Provider Information

NPI Number: 1639105752
Entity Type: Organization
Organization Name: Southeastern Psychiatric Services LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 23, 2006
Last Updated: Nov 10, 2011

Practice Location

Address: 100 S MAIN ST
City: Mcalester
State: Oklahoma
ZIP Code: 74501-5364
Phone: (918) 423-3700

Authorized Official

Name: RICHARD T. BOWDEN, M.D.
Title: PSYCHIATRIST
Phone: (918) 423-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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