Caleb Wayne Lack is a Clinical in Edmond, Oklahoma. Caleb Wayne Lack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Caleb Wayne Lack is 1003074741. The last update date is 2018-03-21.
Caleb Wayne Lack's current location address is 7413 Oak Ave, Edmond, Oklahoma. You can contact this provider via phone number 4055090959. The mailing address for Caleb Wayne Lack is 7413 Oak Ave, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Caleb Wayne Lack |
|---|---|
| Address | 7413 Oak Ave, Edmond, Oklahoma |
| Phone Number | 4055090959 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003074741 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2018-03-21 |
Provider Mailing Address Detail
| Address | 7413 Oak Ave |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 730349058 |
| Phone Number | 4055090959 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 07-37P |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Caleb Wayne Lack's unique identification number?
The Caleb Wayne Lack has been assigned the NPI (National Provider Identifier) Number 1003074741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Caleb Wayne Lack is geographically located?
The Caleb Wayne Lack is physically situated at the following location: 7413 Oak Ave, Edmond, OK, 730349058.
What is Caleb Wayne Lack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Caleb Wayne Lack's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Caleb Wayne Lack receive its 1003074741?
The Caleb Wayne Lack was issued its 1003074741 on 2008-05-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Caleb Wayne Lack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Caleb Wayne Lack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-21.