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Contact Information

MILLENNIUM MEDICAL SERVICES, L.L.C.
448 36TH AVE NW STE 101
NORMAN, OK73072-4743
 Phone: 888-573-7792
 Fax: 888-753-8162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MILLENNIUM MEDICAL SERVICES LLC · (Female)

NPI # 1245286285
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2006
Last updated 02/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200004820A
  • OK Other DA0514 MEDICARE - RAILROAD GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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