Healthcare Provider Details

I. General information

NPI: 1427000843
Provider Name (Legal Business Name): PSYCHOTHERAPY & DIAGNOSTIC SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 W LINDSEY ST SUITE C-120
NORMAN OK
73069-4159
US

IV. Provider business mailing address

1818 W. LINDSEY ST SUITE C-120
NORMAN OK
73069-4169
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-8828
  • Fax: 405-325-1478
Mailing address:
  • Phone: 405-366-8828
  • Fax: 405-325-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number493
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number115
License Number StateOK

VIII. Authorized Official

Name: DR. MICHAEL F. DAVES
Title or Position: PARTNER
Credential: PH.D.
Phone: 405-366-8828