NPI 1003092479

Jonathan D Cargill, PHD, INC

Organisation Clinical Psychologist Shawnee, OK

Practice location

Address: 23 E 9th St Suite 311, Shawnee, OK 74801-6943
Phone: (405) 275-6701
Fax: (405) 598-3668
Mailing address: PO Box 114, Tecumseh, OK 74873-0114

Authorised official

Name: Jonathan Dale Cargill
Title: President
Phone: (405) 598-3668

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 300 (OK)

Other Psychologist providers in Oklahoma →

Registry record

NPI: 1003092479
Entity type: Organization
NPI issued: 16 Jan 2008
Record last updated: 16 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.