NPI 1013473560

Modern Mindcare PLLC

Organisation Psychiatry Physician Edmond, OK

Practice location

Address: 1985 W 33rd St, Edmond, OK 73013-3875
Phone: (405) 633-2496
Fax: (224) 935-4482

Authorised official

Name: Shyvonne Gray
Title: Owner
Phone: (405) 633-2496

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1013473560
Entity type: Organization
NPI issued: 20 Feb 2019
Record last updated: 20 Feb 2019

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.