NPI 1154125755

Legacy Therapeutic Services

Organisation Child & Adolescent Psychiatry Physician Norman, OK

Practice location

Address: 310 12th Ave NE, Norman, OK 73071-5238
Phone: (405) 822-8458
Mailing address: PO Box 278, Bixby, OK 74008-0278

Authorised official

Name: Robert Cornelius
Title: Ceo
Phone: (405) 822-8458

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1154125755
Entity type: Organization
NPI issued: 2 Apr 2025
Record last updated: 2 Apr 2025

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.