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General NPI Number Information
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NPI Number | 1700136561
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Entity Type | Individual
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Provider Name | CASSANDRA M NEUHAUS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 4815 S HARVARD AVE STE 333
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City | TULSA
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State | OK
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Zip | 74135-3077
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Country | US
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Telephone | 918-398-3378
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Fax | 918-209-5538
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Provider Business Mailing Address
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Address Line | 7411 E 126TH CT S
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City | BIXBY
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State | OK
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Zip | 74008-2932
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Country | US
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Telephone | 918-409-0741
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Fax | 918-209-5538
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1227
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License Number State | OK
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